Protac antibody conjugates and methods of use

ABSTRACT

The subject matter described herein is directed to antibody-PROTAC conjugates (PACs), to pharmaceutical compositions containing them, and to their use in treating diseases and conditions where targeted protein degradation is beneficial.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of International Application No. PCT/US2017/033611, filed on May 19, 2017, which claims the benefit of priority to U.S. provisional Application No. 62/339,257 filed 20 May 2016, the contents of which applications are hereby incorporated by reference in their entirety.

REFERENCE TO A SEQUENCE LISTING SUBMITTED AS A TEXT FILE VIA EFS-WEB

The official copy of the sequence listing is submitted electronically via EFS-Web as an ASCII formatted sequence listing with a file named SEQLIST.TXT, created on Nov. 16, 2018, and having a size of 77 kilobytes and is filed concurrently with the specification. The sequence listing contained in this ASCII formatted document is part of the specification and is herein incorporated by reference in its entirety. SEQ ID NOs. 1-6 are intentionally omitted.

FIELD OF THE INVENTION

The subject matter described herein relates generally to antibody-(proteolysis-targeting chimera) (PROTAC) conjugate molecules that are useful for facilitating intracellular degradation of target proteins.

BACKGROUND

Cell maintenance and normal function requires controlled degradation of cellular proteins. For example, degradation of regulatory proteins triggers events in the cell cycle, such as DNA replication, chromosome segregation, etc. Accordingly, such degradation of proteins has implications for the cell's proliferation, differentiation, and death.

While inhibitors of proteins can block or reduce protein activity in a cell, protein degradation in a cell can also reduce activity or remove altogether the target protein. Utilizing a cell's protein degradation pathway can, therefore, provide a means for reducing or removing protein activity. One of the cell's major degradation pathways is known as the ubiquitin-proteasome system. In this system, a protein is marked for degradation by the proteasome by ubiquitinating the protein. The ubiqitinization of the protein is accomplished by an E3 ubiquitin ligase that binds to a protein and adds ubiquitin molecules to the protein. The E3 ubiquitin ligase is part of a pathway that includes E1 and E2 ubiquitin ligases, which make ubiquitin available to the E3 ubiquitin ligase to add to the protein.

To harness this degradation pathway, PROTACs have been developed. PROTACs bring together an E3 ubiquitin ligase with a protein that is to be targeted for degradation. To facilitate a protein for degradation by the proteasome, the PROTAC is comprised of a group that binds to an E3 ubiquitin ligase and a group that binds to the protein one wishes to degrade. These groups are typically connected with a linker. This molecular construct can bring the E3 ubiquitin ligase in proximity with the protein so that it is ubiquitinated and marked for degradation.

There is an ongoing need in the art for enhanced and targeted delivery of PROTACs to cells that contain the protein target. Targeted delivery using antibody-PROTAC conjugates can enhance delivery of PROTACs to particular cells using the specificity of an antibody and can also enhance the pharmacokinetics of delivery of PROTACs to cells relative to other modes of administration of PROTACs, such as infusion.

SUMMARY OF THE INVENTION

In one aspect, the subject matter described herein is directed to a PROTAC-antibody conjugate (PAC) having the formula:

Ab-(L1-D)_(p),

wherein, D is a PROTAC having the structure E3LB-L2-PB; wherein, E3LB is an E3 ligase binding group covalently bound to L2; L2 is a linker covalently bound to E3LB and PB; PB is a protein binding group covalently bound to L2; Ab is an antibody covalently bound to L1; L1 is a linker, covalently bound to Ab and to D; and p has a value from about 1 to about 8.

Another aspect of the subject matter described herein is a pharmaceutical composition comprising a PAC, and one or more pharmaceutically acceptable excipients.

Another aspect of the subject matter described herein is the use of a PAC in methods of treating conditions and diseases by administering to a subject a pharmaceutical composition comprising a PAC.

Another aspect of the subject matter described herein is a method of making a PAC.

Another aspect of the subject matter described herein is an article of manufacture comprising a pharmaceutical composition comprising a PAC, a container, and a package insert or label indicating that the pharmaceutical composition can be used to treat a disease or condition.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 shows the detection of ER-α by Western blot for PROTAC (without Ab), compound P1, and PROTAC-antibody conjugates (PACs) PAC1, and PAC2.

FIG. 2 depicts the quantitation of ERα as determined by fluorescence intensity for Endox-XIAP PACs treated for 3 days in an engineered HER2-MCF7 line. Media: 10% CS-FBS in phenol red free-RPMI.

DETAILED DESCRIPTION

Disclosed herein, are antibody-proteolysis targeting chimera conjugates, referred to herein as PROTAC-Antibody conjugates (PACs), that are useful in targeted protein degradation, and the treatment of related diseases and disorders. The subject matter described herein utilizes antibody targeting to direct a PROTAC to a target cell or tissue. As described herein, connecting an antibody to a PROTAC to form a PAC has been shown to deliver the PROTAC to a target cell or tissue. As shown herein, e.g. in Examples 1 and 2, a cell that expresses an antigen can be targeted by an antigen specific PAC, whereby the PROTAC portion of the PAC is delivered intracellularly to the target cell. Also as shown herein, PACs that comprise an antibody directed to an antigen that is not found on the cell do not result in significant intracelluar delivery of the PROTAC to the cell.

Accordingly, the subject matter described herein is directed to PROTAC-antibody conjugate (PAC) compositions that result in the ubiquitination of a target protein and subsequent degradation of the protein. The compositions comprise an antibody covalently linked to a linker (L1), which is covalently linked at any available point of attachment to a PROTAC, in which the PROTAC comprises an E3 ubiquitin ligase binding (E3LB) moiety, wherein the E3LB moiety recognizes a E3 ubiquitin ligase protein and a protein binding moiety (PB) that recognizes a target protein. The subject matter described herein is useful for regulating protein activity, and treating diseases and conditions related to protein activity.

The presently disclosed subject matter will now be described more fully hereinafter. However, many modifications and other embodiments of the presently disclosed subject matter set forth herein will come to mind to one skilled in the art to which the presently disclosed subject matter pertains having the benefit of the teachings presented in the foregoing descriptions. Therefore, it is to be understood that the presently disclosed subject matter is not to be limited to the specific embodiments disclosed and that modifications and other embodiments are intended to be included within the scope of the appended claims. In other words, the subject matter described herein covers all alternatives, modifications, and equivalents. In the event that one or more of the incorporated literature, patents, and similar materials differs from or contradicts this application, including but not limited to defined terms, term usage, described techniques, or the like, this application controls. Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in this field. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety.

I. Definitions

The term “PROTAC” refers to proteolysis-targeting chimera molecules having generally three components, an E3 ubiquitin ligase binding group (E3LB), a linker L2, and a protein binding group (PB).

The terms “residue,” “moiety” or “group” refers to a component that is covalently bound or linked to another component. For example a “residue of a PROTAC” refers to a PROTAC that is covalently linked to one or more groups such as a Linker L2, which itself can be optionally further linked to an antibody.

The term “covalently bound” or “covalently linked” refers to a chemical bond formed by sharing of one or more pairs of electrons.

The term “peptidomimetic” or PM as used herein means a non-peptide chemical moiety. Peptides are short chains of amino acid monomers linked by peptide (amide) bonds, the covalent chemical bonds formed when the carboxyl group of one amino acid reacts with the amino group of another. The shortest peptides are dipeptides, consisting of 2 amino acids joined by a single peptide bond, followed by tripeptides, tetrapeptides, etc. A peptidomimetic chemical moiety includes non-amino acid chemical moieties. A peptidomimetic chemical moiety may also include one or more amino acid that are separated by one or more non-amino acid chemical units. A peptidomimetic chemical moiety does not contain in any portion of its chemical structure two or more adjacent amino acids that are linked by peptide bonds.

The term “antibody” herein is used in the broadest sense and specifically covers monoclonal antibodies, polyclonal antibodies, dimers, multimers, multispecific antibodies (e.g., bispecific antibodies), and antibody fragments, so long as they exhibit the desired biological activity (Miller et al (2003) Jour. of Immunology 170:4854-4861). Antibodies may be murine, human, humanized, chimeric, or derived from other species. An antibody is a protein generated by the immune system that is capable of recognizing and binding to a specific antigen. (Janeway, C., Travers, P., Walport, M., Shlomchik (2001) Immuno Biology, 5th Ed., Garland Publishing, New York). A target antigen generally has numerous binding sites, also called epitopes, recognized by CDRs (complementary determining regions) on multiple antibodies. Each antibody that specifically binds to a different epitope has a different structure. Thus, one antigen may have more than one corresponding antibody. An antibody includes a full-length immunoglobulin molecule or an immunologically active portion of a full-length immunoglobulin molecule, i.e., a molecule that contains an antigen binding site that immunospecifically binds an antigen of a target of interest or part thereof, such targets including but not limited to, cancer cell or cells that produce autoimmune antibodies associated with an autoimmune disease. The immunoglobulin disclosed herein can be of any type (e.g., IgG, IgE, IgM, IgD, and IgA), class (e.g., IgG1, IgG2, IgG3, IgG4, IgA1 and IgA2) or subclass of immunoglobulin molecule. The immunoglobulins can be derived from any species. In one aspect, however, the immunoglobulin is of human, murine, or rabbit origin.

The term “antibody fragment(s)” as used herein comprises a portion of a full length antibody, generally the antigen binding or variable region thereof. Examples of antibody fragments include Fab, Fab′, F(ab′)₂, and Fv fragments; diabodies; linear antibodies; minibodies (Olafsen et al (2004) Protein Eng. Design & Sel. 17(4):315-323), fragments produced by a Fab expression library, anti-idiotypic (anti-Id) antibodies, CDR (complementary determining region), and epitope-binding fragments of any of the above which immunospecifically bind to cancer cell antigens, viral antigens or microbial antigens, single-chain antibody molecules; and multispecific antibodies formed from antibody fragments.

The term “monoclonal antibody” as used herein refers to an antibody obtained from a population of substantially homogeneous antibodies, i.e., the individual antibodies comprising the population are identical except for possible naturally occurring mutations that may be present in minor amounts. Monoclonal antibodies are highly specific, being directed against a single antigenic site. Furthermore, in contrast to polyclonal antibody preparations which include different antibodies directed against different determinants (epitopes), each monoclonal antibody is directed against a single determinant on the antigen. In addition to their specificity, the monoclonal antibodies are advantageous in that they may be synthesized uncontaminated by other antibodies. The modifier “monoclonal” indicates the character of the antibody as being obtained from a substantially homogeneous population of antibodies, and is not to be construed as requiring production of the antibody by any particular method. For example, the monoclonal antibodies to be used in accordance with the subject matter described herein may be made by the hybridoma method first described by Kohler et al (1975) Nature, 256:495, or may be made by recombinant DNA methods (see for example: U.S. Pat. Nos. 4,816,567; 5,807,715). The monoclonal antibodies may also be isolated from phage antibody libraries using the techniques described in Clackson et al (1991) Nature, 352:624-628; Marks et al (1991)J. Mol. Biol., 222:581-597; for example.

The monoclonal antibodies herein specifically include “chimeric” antibodies in which a portion of the heavy and/or light chain is identical with or homologous to corresponding sequences in antibodies derived from a particular species or belonging to a particular antibody class or subclass, while the remainder of the chain(s) is identical with or homologous to corresponding sequences in antibodies derived from another species or belonging to another antibody class or subclass, as well as fragments of such antibodies, so long as they exhibit the desired biological activity (U.S. Pat. No. 4,816,567; and Morrison et al (1984) Proc. Natl. Acad. Sci. USA, 81:6851-6855). Chimeric antibodies of interest herein include “primatized” antibodies comprising variable domain antigen-binding sequences derived from a non-human primate (e.g., Old World Monkey, Ape, etc.) and human constant region sequences.

The term “chimeric” antibody refers to an antibody in which a portion of the heavy and/or light chain is derived from a particular source or species, while the remainder of the heavy and/or light chain is derived from a different source or species.

The “class” of an antibody refers to the type of constant domain or constant region possessed by its heavy chain. There are five major classes of antibodies: IgA, IgD, IgE, IgG, and IgM, and several of these may be further divided into subclasses (isotypes), e.g., IgG₁, IgG₂, IgG₃, IgG₄, IgA₁, and IgA₂. The heavy chain constant domains that correspond to the different classes of immunoglobulins are called α, δ, ε, γ, and μ, respectively.

The term “intact antibody” as used herein is one comprising a VL and VH domains, as well as a light chain constant domain (CL) and heavy chain constant domains, CH1, CH2 and CH3. The constant domains may be native sequence constant domains (e.g., human native sequence constant domains) or amino acid sequence variant thereof. The intact antibody may have one or more “effector functions” which refer to those biological activities attributable to the Fc constant region (a native sequence Fc region or amino acid sequence variant Fc region) of an antibody. Examples of antibody effector functions include C1q binding; complement dependent cytotoxicity; Fc receptor binding; antibody-dependent cell-mediated cytotoxicity (ADCC); phagocytosis; and down regulation of cell surface receptors such as B cell receptor and BCR.

The term “Fc region” as used herein means a C-terminal region of an immunoglobulin heavy chain that contains at least a portion of the constant region. The term includes native sequence Fc regions and variant Fc regions. In one embodiment, a human IgG heavy chain Fc region extends from Cys226, or from Pro230, to the carboxyl-terminus of the heavy chain. However, the C-terminal lysine (Lys447) of the Fc region may or may not be present. Unless otherwise specified herein, numbering of amino acid residues in the Fc region or constant region is according to the EU numbering system, also called the EU index, as described in Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, M D, 1991.

The term “framework” or “FR” as used herein refers to variable domain residues other than hypervariable region (HVR) residues. The FR of a variable domain generally consists of four FR domains: FR1, FR2, FR3, and FR4. Accordingly, the HVR and FR sequences generally appear in the following sequence in VH (or VL): FR1-H1(L1)-FR2-H2(L2)-FR3-H3(L3)-FR4.

The terms “full length antibody,” “intact antibody,” and “whole antibody” are used herein interchangeably to refer to an antibody having a structure substantially similar to a native antibody structure or having heavy chains that contain an Fc region as defined herein.

A “human antibody” is one which possesses an amino acid sequence which corresponds to that of an antibody produced by a human or a human cell or derived from a non-human source that utilizes human antibody repertoires or other human antibody-encoding sequences. This definition of a human antibody specifically excludes a humanized antibody comprising non-human antigen-binding residues.

A “humanized” antibody refers to a chimeric antibody comprising amino acid residues from non-human HVRs and amino acid residues from human FRs. In certain embodiments, a humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the HVRs (e.g., CDRs) correspond to those of a non-human antibody, and all or substantially all of the FRs correspond to those of a human antibody. A humanized antibody optionally may comprise at least a portion of an antibody constant region derived from a human antibody. A “humanized form” of an antibody, e.g., a non-human antibody, refers to an antibody that has undergone humanization.

An “isolated antibody” is one which has been separated from a component of its natural environment. In some embodiments, an antibody is purified to greater than 95% or 99% purity as determined by, for example, electrophoretic (e.g., SDS-PAGE, isoelectric focusing (IEF), capillary electrophoresis) or chromatographic (e.g., ion exchange or reverse phase HPLC). For review of methods for assessment of antibody purity, see, e.g., Flatman et al., J. Chromatogr. B 848:79-87 (2007).

An “isolated nucleic acid” refers to a nucleic acid molecule that has been separated from a component of its natural environment. An isolated nucleic acid includes a nucleic acid molecule contained in cells that ordinarily contain the nucleic acid molecule, but the nucleic acid molecule is present extrachromosomally or at a chromosomal location that is different from its natural chromosomal location.

“Isolated nucleic acid encoding an antibody” refers to one or more nucleic acid molecules encoding antibody heavy and light chains (or fragments thereof), including such nucleic acid molecule(s) in a single vector or separate vectors, and such nucleic acid molecule(s) present at one or more locations in a host cell.

A “naked antibody” refers to an antibody that is not conjugated to a heterologous moiety (e.g., a cytotoxic moiety) or radiolabel. The naked antibody may be present in a pharmaceutical formulation.

“Native antibodies” refer to naturally occurring immunoglobulin molecules with varying structures. For example, native IgG antibodies are heterotetrameric glycoproteins of about 150,000 daltons, composed of two identical light chains and two identical heavy chains that are disulfide-bonded. From N- to C-terminus, each heavy chain has a variable region (VH), also called a variable heavy domain or a heavy chain variable domain, followed by three constant domains (CH1, CH2, and CH3). Similarly, from N- to C-terminus, each light chain has a variable region (VL), also called a variable light domain or a light chain variable domain, followed by a constant light (CL) domain. The light chain of an antibody may be assigned to one of two types, called kappa (κ) and lambda (λ), based on the amino acid sequence of its constant domain.

“Percent (%) amino acid sequence identity” with respect to a reference polypeptide sequence is defined as the percentage of amino acid residues in a candidate sequence that are identical with the amino acid residues in the reference polypeptide sequence, after aligning the sequences and introducing gaps, if necessary, to achieve the maximum percent sequence identity, and not considering any conservative substitutions as part of the sequence identity. Alignment for purposes of determining percent amino acid sequence identity can be achieved in various ways that are within the skill in the art, for instance, using publicly available computer software such as BLAST, BLAST-2, ALIGN or Megalign (DNASTAR) software. Those skilled in the art can determine appropriate parameters for aligning sequences, including any algorithms needed to achieve maximal alignment over the full length of the sequences being compared. For purposes herein, however, % amino acid sequence identity values are generated using the sequence comparison computer program ALIGN-2. The ALIGN-2 sequence comparison computer program was authored by Genentech, Inc., and the source code has been filed with user documentation in the U.S. Copyright Office, Washington D.C., 20559, where it is registered under U.S. Copyright Registration No. TXU510087. The ALIGN-2 program is publicly available from Genentech, Inc., South San Francisco, California, or may be compiled from the source code. The ALIGN-2 program should be compiled for use on a UNIX operating system, including digital UNIX V4.0D. All sequence comparison parameters are set by the ALIGN-2 program and do not vary.

In situations where ALIGN-2 is employed for amino acid sequence comparisons, the % amino acid sequence identity of a given amino acid sequence A to, with, or against a given amino acid sequence B (which can alternatively be phrased as a given amino acid sequence A that has or comprises a certain % amino acid sequence identity to, with, or against a given amino acid sequence B) is calculated as follows:

100 times the fraction X/Y

where X is the number of amino acid residues scored as identical matches by the sequence alignment program ALIGN-2 in that program's alignment of A and B, and where Y is the total number of amino acid residues in B. It will be appreciated that where the length of amino acid sequence A is not equal to the length of amino acid sequence B, the % amino acid sequence identity of A to B will not equal the % amino acid sequence identity of B to A. Unless specifically stated otherwise, all % amino acid sequence identity values used herein are obtained as described in the immediately preceding paragraph using the ALIGN-2 computer program.

Depending on the amino acid sequence of the constant domain of their heavy chains, intact antibodies can be assigned to different “classes.” There are five major classes of intact immunoglobulin antibodies: IgA, IgD, IgE, IgG, and IgM, and several of these may be further divided into “subclasses” (isotypes), e.g., IgG1, IgG2, IgG3, IgG4, IgA, and IgA2. The heavy-chain constant domains that correspond to the different classes of antibodies are called α, δ, ε, γ, and μ, respectively. The subunit structures and three-dimensional configurations of different classes of immunoglobulins are well known. Ig forms include hinge-modifications or hingeless forms (Roux et al (1998) J. Immunol. 161:4083-4090; Lund et al (2000) Eur. J. Biochem. 267:7246-7256; US 2005/0048572; US 2004/0229310).

The term “human consensus framework” as used herein refers to a framework which represents the most commonly occurring amino acid residues in a selection of human immunoglobulin VL or VH framework sequences. Generally, the selection of human immunoglobulin VL or VH sequences is from a subgroup of variable domain sequences. Generally, the subgroup of sequences is a subgroup as in Kabat et al., Sequences of Proteins of Immunological Interest, Fifth Edition, NIH Publication 91-3242, Bethesda MD (1991), vols. 1-3. In one embodiment, for the VL, the subgroup is subgroup kappa I as in Kabat et al., supra. In one embodiment, for the VH, the subgroup is subgroup III as in Kabat et al., supra.

An “acceptor human framework” for the purposes herein is a framework comprising the amino acid sequence of a light chain variable domain (VL) framework or a heavy chain variable domain (VH) framework derived from a human immunoglobulin framework or a human consensus framework, as defined below. An acceptor human framework “derived from” a human immunoglobulin framework or a human consensus framework may comprise the same amino acid sequence thereof, or it may contain amino acid sequence changes. In some embodiments, the number of amino acid changes are 10 or less, 9 or less, 8 or less, 7 or less, 6 or less, 5 or less, 4 or less, 3 or less, or 2 or less. In some embodiments, the VL acceptor human framework is identical in sequence to the VL human immunoglobulin framework sequence or human consensus framework sequence.

The term “variable region” or “variable domain” as used herein refers to the domain of an antibody heavy or light chain that is involved in binding the antibody to antigen. The variable domains of the heavy chain and light chain (VH and VL, respectively) of a native antibody generally have similar structures, with each domain comprising four conserved framework regions (FRs) and three hypervariable regions (HVRs). (See, e.g., Kindt et al. Kuby Immunology, 6^(th) ed., W.H. Freeman and Co., page 91 (2007).) A single VH or VL domain may be sufficient to confer antigen-binding specificity. Furthermore, antibodies that bind a particular antigen may be isolated using a VH or VL domain from an antibody that binds the antigen to screen a library of complementary VL or VH domains, respectively. See, e.g., Portolano et al., J. Immunol. 150:880-887 (1993); Clarkson et al., Nature 352:624-628 (1991).

The term “hypervariable region” or “HVR,” as used herein, refers to each of the regions of an antibody variable domain that are hypervariable in sequence and/or form structurally defined loops (“hypervariable loops”). Generally, native four-chain antibodies comprise six HVRs; three in the VH (H1, H2, H3), and three in the VL (L1, L2, L3). HVRs generally comprise amino acid residues from the hypervariable loops and/or from the “complementarity determining regions” (CDRs), the latter being of highest sequence variability and/or involved in antigen recognition. Exemplary hypervariable loops occur at amino acid residues 26-32 (L1), 50-52 (L2), 91-96 (L3), 26-32 (H1), 53-55 (H2), and 96-101 (H3). (Chothia and Lesk, J. Mol. Biol. 196:901-917 (1987).) Exemplary CDRs (CDR-L1, CDR-L2, CDR-L3, CDR-H1, CDR-H2, and CDR-H3) occur at amino acid residues 24-34 of L1, 50-56 of L2, 89-97 of L3, 31-35B of H1, 50-65 of H2, and 95-102 of H3. (Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, MD (1991).) With the exception of CDR1 in VH, CDRs generally comprise the amino acid residues that form the hypervariable loops. CDRs also comprise “specificity determining residues,” or “SDRs,” which are residues that contact antigen. SDRs are contained within regions of the CDRs called abbreviated-CDRs, or a-CDRs. Exemplary a-CDRs (a-CDR-L1, a-CDR-L2, a-CDR-L3, a-CDR-H1, a-CDR-H2, and a-CDR-H3) occur at amino acid residues 31-34 of L1, 50-55 of L2, 89-96 of L3, 31-35B of H1, 50-58 of H2, and 95-102 of H3. (See Almagro and Fransson, Front. Biosci. 13:1619-1633 (2008).) Unless otherwise indicated, HVR residues and other residues in the variable domain (e.g., FR residues) are numbered herein according to Kabat et al., supra.

“Effector functions” refer to those biological activities attributable to the Fc region of an antibody, which vary with the antibody isotype. Examples of antibody effector functions include: C1q binding and complement dependent cytotoxicity (CDC); Fc receptor binding; antibody-dependent cell-mediated cytotoxicity (ADCC); phagocytosis; down regulation of cell surface receptors (e.g. B cell receptor); and B cell activation.

The term “epitope” refers to the particular site on an antigen molecule to which an antibody binds.

The “epitope 4D5” or “4D5 epitope” or “4D5” is the region in the extracellular domain of HER2 to which the antibody 4D5 (ATCC CRL 10463) and trastuzumab bind. This epitope is close to the transmembrane domain of HER2, and within domain IV of HER2. To screen for antibodies which bind to the 4D5 epitope, a routine cross-blocking assay such as that described in Antibodies, A Laboratory Manual, Cold Spring Harbor Laboratory, Ed Harlow and David Lane (1988), can be performed. Alternatively, epitope mapping can be performed to assess whether the antibody binds to the 4D5 epitope of HER2 (e.g. any one or more residues in the region from about residue 550 to about residue 610, inclusive, of HER2 (SEQ ID NO: 39).

The “epitope 2C4” or “2C4 epitope” is the region in the extracellular domain of HER2 to which the antibody 2C4 binds. In order to screen for antibodies which bind to the 2C4 epitope, a routine cross-blocking assay such as that described in Antibodies, A Laboratory Manual, Cold Spring Harbor Laboratory, Ed Harlow and David Lane (1988), can be performed. Alternatively, epitope mapping can be performed to assess whether the antibody binds to the 2C4 epitope of HER2. Epitope 2C4 comprises residues from domain II in the extracellular domain of HER2. The 2C4 antibody and pertuzumab bind to the extracellular domain of HER2 at the junction of domains I, II and III (Franklin et al. Cancer Cell 5:317-328 (2004)).

“Affinity” refers to the strength of the sum total of noncovalent interactions between a single binding site of a molecule (e.g., an antibody) and its binding partner (e.g., an antigen). Unless indicated otherwise, as used herein, “binding affinity” refers to intrinsic binding affinity which reflects a 1:1 interaction between members of a binding pair (e.g., antibody and antigen). The affinity of a molecule X for its partner Y can generally be represented by the dissociation constant (Kd). Affinity can be measured by common methods known in the art, including those described herein. Specific illustrative and exemplary embodiments for measuring binding affinity are described in the following. In certain embodiments, an antibody as described herein has dissociation constant (Kd) of ≤1 μM, ≤100 nM, ≤10 nM, ≤5 nm, ≤4 nM, ≤3 nM, ≤2 nM, ≤1 nM, ≤0.1 nM, ≤0.01 nM, or ≤0.001 nM (e.g., 10⁻⁸ M or less, e.g. from 10⁻⁸ M to 10⁻¹ M, e.g., from 10⁻⁹ M to 10⁻¹³ M).

An “affinity matured” antibody refers to an antibody with one or more alterations in one or more hypervariable regions (HVRs), compared to a parent antibody which does not possess such alterations, such alterations resulting in an improvement in the affinity of the antibody for antigen.

The term “vector” as used herein, refers to a nucleic acid molecule capable of propagating another nucleic acid to which it is linked. The term includes the vector as a self-replicating nucleic acid structure as well as the vector incorporated into the genome of a host cell into which it has been introduced. Certain vectors are capable of directing the expression of nucleic acids to which they are operatively linked. Such vectors are referred to herein as “expression vectors.”

The term “free cysteine amino acid” as used herein refers to a cysteine amino acid residue which has been engineered into a parent antibody, has a thiol functional group (—SH), and is not paired as an intramolecular or intermolecular disulfide bridge. The term “amino acid” as used herein means glycine, alanine, valine, leucine, isoleucine, phenylalanine, proline, serine, threonine, tyrosine, cysteine, methionine, lysine, arginine, histidine, tryptophan, aspartic acid, glutamic acid, asparagine, glutamine or citrulline.

The term “Linker”, “Linker Unit”, or “link” as used herein means a chemical moiety comprising a chain of atoms that covalently attaches a PROTAC moiety to an antibody, or a component of a PROTAC to another component of the PROTAC. In various embodiments, a linker is a divalent radical, specified as L1 or L2.

A “patient” or “individual” or “subject” is a mammal. Mammals include, but are not limited to, domesticated animals (e.g., cows, sheep, cats, dogs, and horses), primates (e.g., humans and non-human primates such as monkeys), rabbits, and rodents (e.g., mice and rats). In certain embodiments, the patient, individual, or subject is a human. In some embodiments, the patient may be a “cancer patient,” i.e. one who is suffering or at risk for suffering from one or more symptoms of cancer.

A “patient population” refers to a group of cancer patients. Such populations can be used to demonstrate statistically significant efficacy and/or safety of a drug.

A “relapsed” patient is one who has signs or symptoms of cancer after remission. Optionally, the patient has relapsed after adjuvant or neoadjuvant therapy.

A cancer or biological sample which “displays HER expression, amplification, or activation” is one which, in a diagnostic test, expresses (including overexpresses) a HER receptor, has amplified HER gene, and/or otherwise demonstrates activation or phosphorylation of a HER receptor.

“Neoadjuvant therapy” or “preoperative therapy” herein refers to therapy given prior to surgery. The goal of neoadjuvant therapy is to provide immediate systemic treatment, potentially eradicating micrometastases that would otherwise proliferate if the standard sequence of surgery followed by systemic therapy were followed. Neoadjuvant therapy may also help to reduce tumor size thereby allowing complete resection of initially unresectable tumors or preserving portions of the organ and its functions. Furthermore, neoadjuvant therapy permits an in vivo assessment of drug efficacy, which may guide the choice of subsequent treatments.

“Adjuvant therapy” herein refers to therapy given after definitive surgery, where no evidence of residual disease can be detected, so as to reduce the risk of disease recurrence. The goal of adjuvant therapy is to prevent recurrence of the cancer, and therefore to reduce the chance of cancer-related death. Adjuvant therapy herein specifically excludes neoadjuvant therapy.

“Definitive surgery” is used as that term is used within the medical community. Definitive surgery includes, for example, procedures, surgical or otherwise, that result in removal or resection of the tumor, including those that result in the removal or resection of all grossly visible tumor. Definitive surgery includes, for example, complete or curative resection or complete gross resection of the tumor. Definitive surgery includes procedures that occur in one or more stages, and includes, for example, multi-stage surgical procedures where one or more surgical or other procedures are performed prior to resection of the tumor. Definitive surgery includes procedures to remove or resect the tumor including involved organs, parts of organs and tissues, as well as surrounding organs, such as lymph nodes, parts of organs, or tissues. Removal may be incomplete such that tumor cells might remain even though undetected.

“Survival” refers to the patient remaining alive, and includes disease free survival (DFS), progression free survival (PFS) and overall survival (OS). Survival can be estimated by the Kaplan-Meier method, and any differences in survival are computed using the stratified log-rank test.

“Progression-Free Survival” (PFS) is the time from the first day of treatment to documented disease progression (including isolated CNS progression) or death from any cause on study, whichever occurs first.

“Disease free survival (DFS)” refers to the patient remaining alive, without return of the cancer, for a defined period of time such as about 1 year, about 2 years, about 3 years, about 4 years, about 5 years, about 10 years, etc., from initiation of treatment or from initial diagnosis. In one aspect of the subject matter described herein, DFS is analyzed according to the intent-to-treat principle, i.e., patients are evaluated on the basis of their assigned therapy. The events used in the analysis of DFS can include local, regional and distant recurrence of cancer, occurrence of secondary cancer, and death from any cause in patients without a prior event (e.g, breast cancer recurrence or second primary cancer).

“Overall survival” refers to the patient remaining alive for a defined period of time, such as about 1 year, about 2 years, about 3 years, about 4 years, about 5 years, about 10 years, etc., from initiation of treatment or from initial diagnosis.

By “extending survival” is meant increasing DFS and/or OS in a treated patient relative to an untreated patient, or relative to a control treatment protocol. Survival is monitored for at least about six months, or at least about 1 year, or at least about 2 years, or at least about 3 years, or at least about 4 years, or at least about 5 years, or at least about 10 years, etc., following the initiation of treatment or following the initial diagnosis.

By “monotherapy” is meant a therapeutic regimen that includes only a single therapeutic agent for the treatment of the cancer or tumor during the course of the treatment period.

By “maintenance therapy” is meant a therapeutic regimen that is given to reduce the likelihood of disease recurrence or progression. Maintenance therapy can be provided for any length of time, including extended time periods up to the life-span of the subject. Maintenance therapy can be provided after initial therapy or in conjunction with initial or additional therapies. Dosages used for maintenance therapy can vary and can include diminished dosages as compared to dosages used for other types of therapy.

The terms “host cell,” “host cell line,” and “host cell culture” are used interchangeably and refer to cells into which exogenous nucleic acid has been introduced, including the progeny of such cells. Host cells include “transformants” and “transformed cells,” which include the primary transformed cell and progeny derived therefrom without regard to the number of passages. Progeny may not be completely identical in nucleic acid content to a parent cell, but may contain mutations. Mutant progeny that have the same function or biological activity as screened or selected for in the originally transformed cell are included herein.

The terms “cancer” and “cancerous” refer to or describe the physiological condition in mammals that is typically characterized by unregulated cell growth/proliferation. A “tumor” comprises one or more cancerous cells. Examples of cancer are provided elsewhere herein.

A “HER2-positive” cancer comprises cancer cells which have higher than normal levels of HER2. Examples of HER2-positive cancer include HER2-positive breast cancer and HER2-positive gastric cancer. Optionally, HER2-positive cancer has an immunohistochemistry (IHC) score of 2+ or 3+ and/or an in situ hybridization (ISH) amplification ratio ≥2.0. The term “HER2-positive cell” refers to a cell that expresses HER2 on its surface.

The term “early stage breast cancer (EBC)” or “early breast cancer” is used herein to refer to breast cancer that has not spread beyond the breast or the axillary lymph nodes. This includes ductal carcinoma in situ and stage I, stage IIA, stage IIB, and stage IIIA breast cancers.

Reference to a tumor or cancer as a “Stage 0,” “Stage I,” “Stage II,” “Stage III,” or “Stage IV”, and various sub-stages within this classification, indicates classification of the tumor or cancer using the Overall Stage Grouping or Roman Numeral Staging methods known in the art. Although the actual stage of the cancer is dependent on the type of cancer, in general, a Stage 0 cancer is an in situ lesion, a Stage I cancer is small localized tumor, a Stage II and III cancer is a local advanced tumor which exhibits involvement of the local lymph nodes, and a Stage IV cancer represents metastatic cancer. The specific stages for each type of tumor are known to the skilled clinician.

The term “metastatic breast cancer” means the state of breast cancer where the cancer cells are transmitted from the original site to one or more sites elsewhere in the body, by the blood vessels or lymphatics, to form one or more secondary tumors in one or more organs besides the breast.

An “advanced” cancer is one which has spread outside the site or organ of origin, either by local invasion or metastasis. Accordingly, the term “advanced” cancer includes both locally advanced and metastatic disease. A “recurrent” cancer is one which has regrown, either at the initial site or at a distant site, after a response to initial therapy, such as surgery. A “locally recurrent” cancer is cancer that returns after treatment in the same place as a previously treated cancer. An “operable” or “resectable” cancer is cancer which is confined to the primary organ and suitable for surgery (resection). A “non-resectable” or “unresectable” cancer is not able to be removed (resected) by surgery.

The term “cytotoxic agent” as used herein refers to a substance that inhibits or prevents a cellular function and/or causes cell death or destruction. Cytotoxic agents include, but are not limited to, radioactive isotopes (e.g., At²¹¹, I¹³¹, I¹²⁵, Y⁹⁰, Re¹⁸⁶, Re¹⁸⁸, Sm¹⁵³, Bi²¹², P³², Pb²¹² and radioactive isotopes of Lu); chemotherapeutic agents or drugs (e.g., methotrexate, adriamicin, vinca alkaloids (vincristine, vinblastine, etoposide), doxorubicin, melphalan, mitomycin C, chlorambucil, daunorubicin or other intercalating agents); growth inhibitory agents; enzymes and fragments thereof such as nucleolytic enzymes; antibiotics; toxins such as small molecule toxins or enzymatically active toxins of bacterial, fungal, plant or animal origin, including fragments and/or variants thereof; and the various antitumor or anticancer agents disclosed below.

A “chemotherapeutic agent” refers to a chemical compound useful in the treatment of cancer. Examples of chemotherapeutic agents include alkylating agents such as thiotepa and cyclosphosphamide (CYTOXAN®); alkyl sulfonates such as busulfan, improsulfan and piposulfan; aziridines such as benzodopa, carboquone, meturedopa, and uredopa; ethylenimines and methylamelamines including altretamine, triethylenemelamine, triethylenephosphoramide, triethylenethiophosphoramide and trimethylomelamine; acetogenins (especially bullatacin and bullatacinone); delta-9-tetrahydrocannabinol (dronabinol, MARINOL®); beta-lapachone; lapachol; colchicines; betulinic acid; a camptothecin (including the synthetic analogue topotecan (HYCAMTIN®), CPT-11 (irinotecan, CAMPTOSAR®), acetylcamptothecin, scopolectin, and 9-aminocamptothecin); bryostatin; callystatin; CC-1065 (including its adozelesin, carzelesin and bizelesin synthetic analogues); podophyllotoxin; podophyllinic acid; teniposide; cryptophycins (particularly cryptophycin 1 and cryptophycin 8); dolastatin; duocarmycin (including the synthetic analogues, KW-2189 and CB1-TM1); eleutherobin; pancratistatin; a sarcodictyin; spongistatin; nitrogen mustards such as chlorambucil, chlornaphazine, chlorophosphamide, estramustine, ifosfamide, mechlorethamine, mechlorethamine oxide hydrochloride, melphalan, novembichin, phenesterine, prednimustine, trofosfamide, uracil mustard; nitrosoureas such as carmustine, chlorozotocin, fotemustine, lomustine, nimustine, and ranimnustine; antibiotics such as the enediyne antibiotics (e.g., calicheamicin, especially calicheamicin gamma1I and calicheamicin omegaI1 (see, e.g., Nicolaou et al., Angew. Chem Intl. Ed. Engl., 33: 183-186 (1994)); CDP323, an oral alpha-4 integrin inhibitor, dynemicin, including dynemicin A; an esperamicin; as well as neocarzinostatin chromophore and related chromoprotein enediyne antibiotic chromophores), aclacinomysins, actinomycin, authramycin, azaserine, bleomycins, cactinomycin, carabicin, carminomycin, carzinophilin, chromomycins, dactinomycin, daunorubicin, detorubicin, 6-diazo-5-oxo-L-norleucine, doxorubicin (including ADRIAMYCIN®, morpholino-doxorubicin, cyanomorpholino-doxorubicin, 2-pyrrolino-doxorubicin, doxorubicin HCl liposome injection (DOXIL®), liposomal doxorubicin TLC D-99 (MYOCET®), peglylated liposomal doxorubicin (CAELYX®), and deoxydoxorubicin), epirubicin, esorubicin, idarubicin, marcellomycin, mitomycins such as mitomycin C, mycophenolic acid, nogalamycin, olivomycins, peplomycin, porfiromycin, puromycin, quelamycin, rodorubicin, streptonigrin, streptozocin, tubercidin, ubenimex, zinostatin, zorubicin; anti-metabolites such as methotrexate, gemcitabine (GEMZAR®), tegafur (UFTORAL®), capecitabine (XELODA®), an epothilone, and 5-fluorouracil (5-FU); folic acid analogues such as denopterin, methotrexate, pteropterin, trimetrexate; purine analogs such as fludarabine, 6-mercaptopurine, thiamiprine, thioguanine; pyrimidine analogs such as ancitabine, azacitidine, 6-azauridine, carmofur, cytarabine, dideoxyuridine, doxifluridine, enocitabine, floxuridine; androgens such as calusterone, dromostanolone propionate, epitiostanol, mepitiostane, testolactone; anti-adrenals such as aminoglutethimide, mitotane, trilostane; folic acid replenisher such as frolinic acid; aceglatone; aldophosphamide glycoside; aminolevulinic acid; eniluracil; amsacrine; bestrabucil; bisantrene; edatraxate; defofamine; demecolcine; diaziquone; elfornithine; elliptinium acetate; an epothilone; etoglucid; gallium nitrate; hydroxyurea; lentinan; lonidainine; maytansinoids such as maytansine and ansamitocins; mitoguazone; mitoxantrone; mopidanmol; nitraerine; pentostatin; phenamet; pirarubicin; losoxantrone; 2-ethylhydrazide; procarbazine; PSK® polysaccharide complex (JHS Natural Products, Eugene, OR); razoxane; rhizoxin; sizofiran; spirogermanium; tenuazonic acid; triaziquone; 2,2′,2′-trichlorotriethylamine; trichothecenes (especially T-2 toxin, verracurin A, roridin A and anguidine); urethan; vindesine (ELDISINE®, FILDESIN®); dacarbazine; mannomustine; mitobronitol; mitolactol; pipobroman; gacytosine; arabinoside (“Ara-C”); thiotepa; taxoid, e.g., paclitaxel (TAXOL®), albumin-engineered nanoparticle formulation of paclitaxel (ABRAXANE™), and docetaxel (TAXOTERE®); chloranbucil; 6-thioguanine; mercaptopurine; methotrexate; platinum agents such as cisplatin, oxaliplatin (e.g., ELOXATIN®), and carboplatin; vincas, which prevent tubulin polymerization from forming microtubules, including vinblastine (VELBAN®), vincristine (ONCOVIN®), vindesine (ELDISINE®, FILDESIN®), and vinorelbine (NAVELBINE®); etoposide (VP-16); ifosfamide; mitoxantrone; leucovorin; novantrone; edatrexate; daunomycin; aminopterin; ibandronate; topoisomerase inhibitor RFS 2000; difluoromethylornithine (DMFO); retinoids such as retinoic acid, including bexarotene (TARGRETIN®); bisphosphonates such as clodronate (for example, BONEFOS® or OSTAC®), etidronate (DIDROCAL®), NE-58095, zoledronic acid/zoledronate (ZOMETA®), alendronate (FOSAMAX®), pamidronate (AREDIA®), tiludronate (SKELID®), or risedronate (ACTONEL®); troxacitabine (a 1,3-dioxolane nucleoside cytosine analog); antisense oligonucleotides, particularly those that inhibit expression of genes in signaling pathways implicated in aberrant cell proliferation, such as, for example, PKC-alpha, Raf, H-Ras, and epidermal growth factor receptor (EGF-R); vaccines such as THERATOPE® vaccine and gene therapy vaccines, for example, ALLOVECTIN® vaccine, LEUVECTIN® vaccine, and VAXID® vaccine; topoisomerase 1 inhibitor (e.g., LURTOTECAN®); rmRH (e.g., ABARELIX®); BAY439006 (sorafenib; Bayer); SU-11248 (sunitinib, SUTENT®, Pfizer); perifosine, COX-2 inhibitor (e.g., celecoxib or etoricoxib), proteosome inhibitor (e.g., PS341); bortezomib (VELCADE®); CCI-779; tipifarnib (R11577); orafenib, ABT510; Bcl-2 inhibitor such as oblimersen sodium (GENASENSE®, an antisense oligonucleotide); pixantrone; EGFR inhibitors (see definition below); tyrosine kinase inhibitors; serine-threonine kinase inhibitors such as rapamycin (sirolimus, RAPAMUNE®); farnesyltransferase inhibitors such as lonafarnib (SCH 6636, SARASAR™); and pharmaceutically acceptable salts, acids or derivatives of any of the above; as well as combinations of two or more of the above such as CHOP, an abbreviation for a combined therapy of cyclophosphamide, doxorubicin, vincristine, and prednisolone; and FOLFOX, an abbreviation for a treatment regimen with oxaliplatin (ELOXATIN™) combined with 5-FU and leucovorin.

Chemotherapeutic agents as defined herein include “anti-hormonal agents” or “endocrine therapeutics” which act to regulate, reduce, block, or inhibit the effects of hormones that can promote the growth of cancer. They may be hormones themselves, including, but not limited to: anti-estrogens with mixed agonist/antagonist profile, including, tamoxifen (NOLVADEX®), 4-hydroxytamoxifen, toremifene (FARESTON®), idoxifene, droloxifene, raloxifene (EVISTA®), trioxifene, keoxifene, and selective estrogen receptor modulators (SERMs) such as SERM3; pure anti-estrogens without agonist properties, such as fulvestrant (FASLODEX®), and EM800 (such agents may block estrogen receptor (ER) dimerization, inhibit DNA binding, increase ER turnover, and/or suppress ER levels); aromatase inhibitors, including steroidal aromatase inhibitors such as formestane and exemestane (AROMASIN®), and nonsteroidal aromatase inhibitors such as anastrazole (ARIMIDEX®), letrozole (FEMARA®) and aminoglutethimide, and other aromatase inhibitors include vorozole (RIVISOR®), megestrol acetate (MEGASE®), fadrozole, and 4(5)-imidazoles; lutenizing hormone-releaseing hormone agonists, including leuprolide (LUPRON® and ELIGARD®), goserelin, buserelin, and tripterelin; sex steroids, including progestines such as megestrol acetate and medroxyprogesterone acetate, estrogens such as diethylstilbestrol and premarin, and androgens/retinoids such as fluoxymesterone, all transretionic acid and fenretinide; onapristone; anti-progesterones; estrogen receptor down-regulators (ERDs); anti-androgens such as flutamide, nilutamide and bicalutamide; and pharmaceutically acceptable salts, acids or derivatives of any of the above; as well as combinations of two or more of the above.

The term “immunosuppressive agent” as used herein for adjunct therapy refers to substances that act to suppress or mask the immune system of the mammal being treated herein. This would include substances that suppress cytokine production, down-regulate or suppress self-antigen expression, or mask the MHC antigens. Examples of such agents include 2-amino-6-aryl-5-substituted pyrimidines (see U.S. Pat. No. 4,665,077); non-steroidal anti-inflammatory drugs (NSAIDs); ganciclovir, tacrolimus, glucocorticoids such as cortisol or aldosterone, anti-inflammatory agents such as a cyclooxygenase inhibitor, a 5-lipoxygenase inhibitor, or a leukotriene receptor antagonist; purine antagonists such as azathioprine or mycophenolate mofetil (MMF); alkylating agents such as cyclophosphamide; bromocryptine; danazol; dapsone; glutaraldehyde (which masks the MHC antigens, as described in U.S. Pat. No. 4,120,649); anti-idiotypic antibodies for MHC antigens and MHC fragments; cyclosporin A; steroids such as corticosteroids or glucocorticosteroids or glucocorticoid analogs, e.g., prednisone, methylprednisolone, including SOLU-MEDROL® methylprednisolone sodium succinate, and dexamethasone; dihydrofolate reductase inhibitors such as methotrexate (oral or subcutaneous); anti-malarial agents such as chloroquine and hydroxychloroquine; sulfasalazine; leflunomide; cytokine or cytokine receptor antibodies including anti-interferon-alpha, -beta, or -gamma antibodies, anti-tumor necrosis factor(TNF)-alpha antibodies (infliximab (REMICADE®) or adalimumab), anti-TNF-alpha immunoadhesin (etanercept), anti-TNF-beta antibodies, anti-interleukin-2 (IL-2) antibodies and anti-IL-2 receptor antibodies, and anti-interleukin-6 (IL-6) receptor antibodies and antagonists (such as ACTEMRA™ (tocilizumab)); anti-LFA-1 antibodies, including anti-CD11a and anti-CD18 antibodies; anti-L3T4 antibodies; heterologous anti-lymphocyte globulin; pan-T antibodies, preferably anti-CD3 or anti-CD4/CD4a antibodies; soluble peptide containing a LFA-3 binding domain (WO 90/08187 published Jul. 26, 1990); streptokinase; transforming growth factor-beta (TGF-beta); streptodornase; RNA or DNA from the host; FK506; RS-61443; chlorambucil; deoxyspergualin; rapamycin; T-cell receptor (Cohen et al., U.S. Pat. No. 5,114,721); T-cell receptor fragments (Offner et al., Science, 251: 430-432 (1991); WO 90/11294; Ianeway, Nature, 341: 482 (1989); and WO 91/01133); BAFF antagonists such as BAFF antibodies and BR3 antibodies and zTNF4 antagonists (for review, see Mackay and Mackay, Trends Immunol., 23:113-5 (2002) and see also definition below); biologic agents that interfere with T cell helper signals, such as anti-CD40 receptor or anti-CD40 ligand (CD154), including blocking antibodies to CD40-CD40 ligand (e.g., Durie et al., Science, 261: 1328-30 (1993); Mohan et al., J. Immunol., 154: 1470-80 (1995)) and CTLA4-Ig (Finck et al., Science, 265: 1225-7 (1994)); and T-cell receptor antibodies (EP 340,109) such as T10B9. Some preferred immunosuppressive agents herein include cyclophosphamide, chlorambucil, azathioprine, leflunomide, MMF, or methotrexate.

As used herein, “treatment” (and grammatical variations thereof such as “treat” or “treating”) refers to clinical intervention in an attempt to alter the natural course of the individual being treated, and can be performed either for prophylaxis or during the course of clinical pathology. Desirable effects of treatment include, but are not limited to, preventing occurrence or recurrence of disease, alleviation of symptoms, diminishment of any direct or indirect pathological consequences of the disease, preventing metastasis, decreasing the rate of disease progression, amelioration or palliation of the disease state, and remission or improved prognosis. In some embodiments, antibodies of the subject matter described herein are used to delay development of a disease or to slow the progression of a disease.

A drug that is administered “concurrently” with one or more other drugs is administered during the same treatment cycle, on the same day of treatment as the one or more other drugs, and, optionally, at the same time as the one or more other drugs. For instance, for cancer therapies given every 3 weeks, the concurrently administered drugs are each administered on day-1 of a 3-week cycle.

An “effective amount” of an agent, e.g., a pharmaceutical formulation, refers to an amount effective, at dosages and for periods of time necessary, to achieve the desired therapeutic or prophylactic result. For example, an effective amount of the drug for treating cancer may reduce the number of cancer cells; reduce the tumor size; inhibit (i.e., slow to some extent and preferably stop) cancer cell infiltration into peripheral organs; inhibit (i.e., slow to some extent and preferably stop) tumor metastasis; inhibit, to some extent, tumor growth; and/or relieve to some extent one or more of the symptoms associated with the cancer. To the extent the drug may prevent growth and/or kill existing cancer cells, it may be cytostatic and/or cytotoxic. The effective amount may extend progression free survival (e.g. as measured by Response Evaluation Criteria for Solid Tumors, RECIST, or CA-125 changes), result in an objective response (including a partial response, PR, or complete response, CR), increase overall survival time, and/or improve one or more symptoms of cancer (e.g. as assessed by FOSI).

As used herein, the term “therapeutically effective amount” means any amount which, as compared to a corresponding subject who has not received such amount, results in treatment of a disease, disorder, or side effect, or a decrease in the rate of advancement of a disease or disorder. The term also includes within its scope amounts effective to enhance normal physiological function. For use in therapy, therapeutically effective amounts of a PAC, as well as salts thereof, may be administered as the raw chemical. Additionally, the active ingredient may be presented as a pharmaceutical composition.

As used herein, unless defined otherwise in a claim, the term “optionally” means that the subsequently described event(s) may or may not occur, and includes both event(s) that occur and event(s) that do not occur.

As used herein, unless defined otherwise, the phrase “optionally substituted”, “substituted” or variations thereof denote an optional substitution, including multiple degrees of substitution, with one or more substituent group, for example, one, two or three. The phrase should not be interpreted as duplicative of the substitutions herein described and depicted.

The term “pharmaceutical formulation” refers to a preparation which is in such form as to permit the biological activity of an active ingredient contained therein to be effective, and which contains no additional components which are unacceptably toxic to a subject to which the formulation would be administered.

A “pharmaceutically acceptable excipient” refers to an ingredient in a pharmaceutical formulation, other than an active ingredient, which is nontoxic to a subject. A pharmaceutically acceptable excipient includes, but is not limited to, a buffer, carrier, stabilizer, or preservative.

The phrase “pharmaceutically acceptable salt,” as used herein, refers to pharmaceutically acceptable organic or inorganic salts of a molecule. Exemplary salts include, but are not limited, to sulfate, citrate, acetate, oxalate, chloride, bromide, iodide, nitrate, bisulfate, phosphate, acid phosphate, isonicotinate, lactate, salicylate, acid citrate, tartrate, oleate, tannate, pantothenate, bitartrate, ascorbate, succinate, maleate, gentisinate, fumarate, gluconate, glucuronate, saccharate, formate, benzoate, glutamate, methanesulfonate, ethanesulfonate, benzenesulfonate, p-toluenesulfonate, and pamoate (i.e., 1,1′-methylene-bis-(2-hydroxy-3-naphthoate)) salts. A pharmaceutically acceptable salt may involve the inclusion of another molecule such as an acetate ion, a succinate ion or other counterion. The counterion may be any organic or inorganic moiety that stabilizes the charge on the parent compound. Furthermore, a pharmaceutically acceptable salt may have more than one charged atom in its structure. Instances where multiple charged atoms are part of the pharmaceutically acceptable salt can have multiple counter ions. Hence, a pharmaceutically acceptable salt can have one or more charged atoms and/or one or more counterion.

Other salts, which are not pharmaceutically acceptable, may be useful in the preparation of compounds of described herein and these should be considered to form a further aspect of the subject matter. These salts, such as oxalic or trifluoroacetate, while not in themselves pharmaceutically acceptable, may be useful in the preparation of salts useful as intermediates in obtaining the compounds described herein and their pharmaceutically acceptable salts.

As used herein, the term “plurality” refers to two or more conjugates. Each conjugate can be the same or different from any other conjugate in the plurality.

A “small molecule” or “small molecular compound” generally refers to an organic molecule that is less than about 5 kilodaltons (Kd) in size. In some embodiments, the small molecule is less than about 4 Kd, 3 Kd, about 2 Kd, or about 1 Kd. In some embodiments, the small molecule is less than about 800 daltons (D), about 600 D, about 500 D, about 400 D, about 300 D, about 200 D, or about 100 D. In some embodiments, a small molecule is less than about 2000 g/mol, less than about 1500 g/mol, less than about 1000 g/mol, less than about 800 g/mol, or less than about 500 g/mol. In some embodiments, small molecules are non-polymeric. Small molecules are not proteins, polypeptides, oligopeptides, peptides, polynucleotides, oligonucleotides, polysaccharides, glycoproteins, proteoglycans, etc. A derivative of a small molecule refers to a molecule that shares the same structural core as the original small molecule, but which can be prepared by a series of chemical reactions from the original small molecule.

The term “alkyl” as used herein refers to a saturated linear or branched-chain monovalent hydrocarbon radical of any length from one to twelve carbon atoms (C1-C₁₂), wherein the alkyl radical may be optionally substituted independently with one or more substituents described below. In another embodiment, an alkyl radical is one to eight carbon atoms (C₁-C₈), or one to six carbon atoms (C₁-C₆). Examples of alkyl groups include, but are not limited to, methyl (Me, —CH₃), ethyl (Et, —CH₂CH₃), 1-propyl (n-Pr, n-propyl, —CH₂CH₂CH₃), 2-propyl (i-Pr, i-propyl, —CH(CH₃)₂), 1-butyl (n-Bu, n-butyl, —CH₂CH₂CH₂CH₃), 2-methyl-1-propyl (i-Bu, i-butyl, —CH₂CH(CH₃)₂), 2-butyl (s-Bu, s-butyl, —CH(CH₃)CH₂CH₃), 2-methyl-2-propyl (t-Bu, t-butyl, —C(CH₃)₃), 1-pentyl (n-pentyl, —CH₂CH₂CH₂CH₂CH₃), 2-pentyl (—CH(CH₃)CH₂CH₂CH₃), 3-pentyl (—CH(CH₂CH₃)₂), 2-methyl-2-butyl (—C(CH₃)₂CH₂CH₃), 3-methyl-2-butyl (—CH(CH₃)CH(CH₃)₂), 3-methyl-1-butyl (—CH₂CH₂CH(CH₃)₂), 2-methyl-1-butyl (—CH₂CH(CH₃)CH₂CH₃), 1-hexyl (—CH₂CH₂CH₂CH₂CH₂CH₃), 2-hexyl (—CH(CH₃)CH₂CH₂CH₂CH₃), 3-hexyl (—CH(CH₂CH₃)(CH₂CH₂CH₃)), 2-methyl-2-pentyl (—C(CH₃)₂CH₂CH₂CH₃), 3-methyl-2-pentyl (—CH(CH₃)CH(CH₃)CH₂CH₃), 4-methyl-2-pentyl (—CH(CH₃)CH₂CH(CH₃)₂), 3-methyl-3-pentyl (—C(CH₃)(CH₂CH₃)₂), 2-methyl-3-pentyl (—CH(CH₂CH₃)CH(CH₃)₂), 2,3-dimethyl-2-butyl (—C(CH₃)₂CH(CH₃)₂), 3,3-dimethyl-2-butyl (—CH(CH₃)C(CH₃)₃, 1-heptyl, 1-octyl, and the like.

The term “alkylene” as used herein refers to a saturated linear or branched-chain divalent hydrocarbon radical of any length from one to twelve carbon atoms (C₁-C₁₂), wherein the alkylene radical may be optionally substituted independently with one or more substituents described below. In another embodiment, an alkylene radical is one to eight carbon atoms (C₁-C₈), or one to six carbon atoms (C₁-C₆). Examples of alkylene groups include, but are not limited to, methylene (—CH₂—), ethylene (—CH₂CH₂—), propylene (—CH₂CH₂CH₂—), and the like.

The term “alkenyl” refers to linear or branched-chain monovalent hydrocarbon radical of any length from two to eight carbon atoms (C₂-C₅) with at least one site of unsaturation, i.e., a carbon-carbon, sp² double bond, wherein the alkenyl radical may be optionally substituted independently with one or more substituents described herein, and includes radicals having “cis” and “trans” orientations, or alternatively, “E” and “Z” orientations. Examples include, but are not limited to, ethylenyl or vinyl (—CH═CH₂), allyl (—CH₂CH═CH₂), and the like.

The term “alkenylene” refers to linear or branched-chain divalent hydrocarbon radical of any length from two to eight carbon atoms (C₂-C₅) with at least one site of unsaturation, i.e., a carbon-carbon, sp² double bond, wherein the alkenylene radical may be optionally substituted independently with one or more substituents described herein, and includes radicals having “cis” and “trans” orientations, or alternatively, “E” and “Z” orientations. Examples include, but are not limited to, ethylenylene or vinylene (—CH═CH—), allyl (—CH₂CH═CH—), and the like.

The term “alkynyl” refers to a linear or branched monovalent hydrocarbon radical of any length from two to eight carbon atoms (C₂-C₈) with at least one site of unsaturation, i.e., a carbon-carbon, sp triple bond, wherein the alkynyl radical may be optionally substituted independently with one or more substituents described herein. Examples include, but are not limited to, ethynyl (—C≡CH), propynyl (propargyl, —CH₂C≡CH), and the like.

The term “alkynylene” refers to a linear or branched divalent hydrocarbon radical of any length from two to eight carbon atoms (C₂-C₅) with at least one site of unsaturation, i.e., a carbon-carbon, sp triple bond, wherein the alkynylene radical may be optionally substituted independently with one or more substituents described herein. Examples include, but are not limited to, ethynylene (—C≡C—), propynylene (propargylene, —CH₂C≡C—), and the like.

The terms “carbocycle”, “carbocyclyl”, “carbocyclic ring” and “cycloalkyl” refer to a monovalent non-aromatic, saturated or partially unsaturated ring having 3 to 12 carbon atoms (C₃-C₁₂) as a monocyclic ring or 7 to 12 carbon atoms as a bicyclic ring. Bicyclic carbocycles having 7 to 12 atoms can be arranged, for example, as a bicyclo [4,5], [5,5], [5,6] or [6,6] system, and bicyclic carbocycles having 9 or 10 ring atoms can be arranged as a bicyclo [5,6] or [6,6] system, or as bridged systems such as bicyclo[2.2.1]heptane, bicyclo[2.2.2]octane and bicyclo[3.2.2]nonane. Spiro moieties are also included within the scope of this definition. Examples of monocyclic carbocycles include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, 1-cyclopent-1-enyl, 1-cyclopent-2-enyl, 1-cyclopent-3-enyl, cyclohexyl, 1-cyclohex-1-enyl, 1-cyclohex-2-enyl, 1-cyclohex-3-enyl, cyclohexadienyl, cycloheptyl, cyclooctyl, cyclononyl, cyclodecyl, cycloundecyl, cyclododecyl, and the like. Carbocyclyl groups are optionally substituted independently with one or more substituents described herein.

“Aryl” means a monovalent aromatic hydrocarbon radical of 6-20 carbon atoms (C₆-C₂₀) derived by the removal of one hydrogen atom from a single carbon atom of a parent aromatic ring system. Some aryl groups are represented in the exemplary structures as “Ar”. Aryl includes bicyclic radicals comprising an aromatic ring fused to a saturated, partially unsaturated ring, or aromatic carbocyclic ring. Typical aryl groups include, but are not limited to, radicals derived from benzene (phenyl), substituted benzenes, naphthalene, anthracene, biphenyl, indenyl, indanyl, 1,2-dihydronaphthalene, 1,2,3,4-tetrahydronaphthyl, and the like. Aryl groups are optionally substituted independently with one or more substituents described herein.

“Arylene” means a divalent aromatic hydrocarbon radical of 6-20 carbon atoms (C₆-C₂₀) derived by the removal of two hydrogen atom from a two carbon atoms of a parent aromatic ring system. Some arylene groups are represented in the exemplary structures as “Ar”. Arylene includes bicyclic radicals comprising an aromatic ring fused to a saturated, partially unsaturated ring, or aromatic carbocyclic ring. Typical arylene groups include, but are not limited to, radicals derived from benzene (phenylene), substituted benzenes, naphthalene, anthracene, biphenylene, indenylene, indanylene, 1,2-dihydronaphthalene, 1,2,3,4-tetrahydronaphthyl, and the like. Arylene groups are optionally substituted with one or more substituents described herein.

The terms “heterocycle,” “heterocyclyl” and “heterocyclic ring” are used interchangeably herein and refer to a saturated or a partially unsaturated (i.e., having one or more double and/or triple bonds within the ring) carbocyclic radical of 3 to about 20 ring atoms in which at least one ring atom is a heteroatom selected from nitrogen, oxygen, phosphorus and sulfur, the remaining ring atoms being C, where one or more ring atoms is optionally substituted independently with one or more substituents described below. A heterocycle may be a monocycle having 3 to 7 ring members (2 to 6 carbon atoms and 1 to 4 heteroatoms selected from N, O, P, and S) or a bicycle having 7 to 10 ring members (4 to 9 carbon atoms and 1 to 6 heteroatoms selected from N, O, P, and S), for example: a bicyclo [4,5], [5,5], [5,6], or [6,6] system. Heterocycles are described in Paquette, Leo A.; “Principles of Modern Heterocyclic Chemistry” (W.A. Benjamin, New York, 1968), particularly Chapters 1, 3, 4, 6, 7, and 9; “The Chemistry of Heterocyclic Compounds, A series of Monographs” (John Wiley & Sons, New York, 1950 to present), in particular Volumes 13, 14, 16, 19, and 28; and J. Am. Chem. Soc. (1960) 82:5566. “Heterocyclyl” also includes radicals where heterocycle radicals are fused with a saturated, partially unsaturated ring, or aromatic carbocyclic or heterocyclic ring. Examples of heterocyclic rings include, but are not limited to, morpholin-4-yl, piperidin-1-yl, piperazinyl, piperazin-4-yl-2-one, piperazin-4-yl-3-one, pyrrolidin-1-yl, thiomorpholin-4-yl, S-dioxothiomorpholin-4-yl, azocan-1-yl, azetidin-1-yl, octahydropyrido[1,2-a]pyrazin-2-yl, [1,4]diazepan-1-yl, pyrrolidinyl, tetrahydrofuranyl, dihydrofuranyl, tetrahydrothienyl, tetrahydropyranyl, dihydropyranyl, tetrahydrothiopyranyl, piperidino, morpholino, thiomorpholino, thioxanyl, piperazinyl, homopiperazinyl, azetidinyl, oxetanyl, thietanyl, homopiperidinyl, oxepanyl, thiepanyl, oxazepinyl, diazepinyl, thiazepinyl, 2-pyrrolinyl, 3-pyrrolinyl, indolinyl, 2H-pyranyl, 4H-pyranyl, dioxanyl, 1,3-dioxolanyl, pyrazolinyl, dithianyl, dithiolanyl, dihydropyranyl, dihydrothienyl, dihydrofuranyl, pyrazolidinylimidazolinyl, imidazolidinyl, 3-azabicyco[3.1.0]hexanyl, 3-azabicyclo[4.1.0]heptanyl, azabicyclo[2.2.2]hexanyl, 3H-indolyl quinolizinyl and N-pyridyl ureas. Spiro moieties are also included within the scope of this definition. Examples of a heterocyclic group wherein 2 ring atoms are substituted with oxo (═O) moieties are pyrimidinonyl and 1,1-dioxo-thiomorpholinyl. The heterocycle groups herein are optionally substituted independently with one or more substituents described herein.

The term “heteroaryl” refers to a monovalent aromatic radical of 5-, 6-, or 7-membered rings, and includes fused ring systems (at least one of which is aromatic) of 5-20 atoms, containing one or more heteroatoms independently selected from nitrogen, oxygen, and sulfur. Examples of heteroaryl groups are pyridinyl (including, for example, 2-hydroxypyridinyl), imidazolyl, imidazopyridinyl, 1-methyl-1H-benzo[d]imidazole, [1,2,4]triazolo[1,5-a]pyridine, pyrimidinyl (including, for example, 4-hydroxypyrimidinyl), pyrazolyl, triazolyl, pyrazinyl, tetrazolyl, furyl, thienyl, isoxazolyl, thiazolyl, oxadiazolyl, oxazolyl, isothiazolyl, pyrrolyl, quinolinyl, isoquinolinyl, tetrahydroisoquinolinyl, indolyl, benzimidazolyl, benzofuranyl, cinnolinyl, indazolyl, indolizinyl, phthalazinyl, pyridazinyl, triazinyl, isoindolyl, pteridinyl, purinyl, oxadiazolyl, thiadiazolyl, thiadiazolyl, furazanyl, benzofurazanyl, benzothiophenyl, benzothiazolyl, benzoxazolyl, quinazolinyl, quinoxalinyl, naphthyridinyl, and furopyridinyl. Heteroaryl groups are optionally substituted independently with one or more substituents described herein.

The heterocycle or heteroaryl groups may be carbon (carbon-linked), or nitrogen (nitrogen-linked) bonded where such is possible. By way of example and not limitation, carbon bonded heterocycles or heteroaryls are bonded at position 2, 3, 4, 5, or 6 of a pyridine, position 3, 4, 5, or 6 of a pyridazine, position 2, 4, 5, or 6 of a pyrimidine, position 2, 3, 5, or 6 of a pyrazine, position 2, 3, 4, or 5 of a furan, tetrahydrofuran, thiofuran, thiophene, pyrrole or tetrahydropyrrole, position 2, 4, or 5 of an oxazole, imidazole or thiazole, position 3, 4, or 5 of an isoxazole, pyrazole, or isothiazole, position 2 or 3 of an aziridine, position 2, 3, or 4 of an azetidine, position 2, 3, 4, 5, 6, 7, or 8 of a quinoline or position 1, 3, 4, 5, 6, 7, or 8 of an isoquinoline.

By way of example and not limitation, nitrogen bonded heterocycles or heteroaryls are bonded at position 1 of an aziridine, azetidine, pyrrole, pyrrolidine, 2-pyrroline, 3-pyrroline, imidazole, imidazolidine, 2-imidazoline, 3-imidazoline, pyrazole, pyrazoline, 2-pyrazoline, 3-pyrazoline, piperidine, piperazine, indole, indoline, 1H-indazole, position 2 of a isoindole, or isoindoline, position 4 of a morpholine, and position 9 of a carbazole, or p-carboline.

The term “chiral” refers to molecules which have the property of non-superimposability of the mirror image partner, while the term “achiral” refers to molecules which are superimposable on their mirror image partner.

The term “stereoisomers” refers to compounds which have identical chemical constitution, but differ with regard to the arrangement of the atoms or groups in space.

“Diastereomer” refers to a stereoisomer with two or more centers of chirality and whose molecules are not mirror images of one another. Diastereomers have different physical properties, e.g. melting points, boiling points, spectral properties, and reactivities. Mixtures of diastereomers may separate under high resolution analytical procedures such as electrophoresis and chromatography.

“Enantiomers” refer to two stereoisomers of a compound which are non-superimposable mirror images of one another.

Stereochemical definitions and conventions used herein generally follow S. P. Parker, Ed., McGraw-Hill Dictionary of Chemical Terms (1984) McGraw-Hill Book Company, New York; and Eliel, E. and Wilen, S., Stereochemistry of Organic Compounds (1994) John Wiley & Sons, Inc., New York. Many organic compounds exist in optically active forms, i.e., they have the ability to rotate the plane of plane-polarized light. In describing an optically active compound, the prefixes D and L, or R and S, are used to denote the absolute configuration of the molecule about its chiral center(s). The prefixes d and 1 or (+) and (−) are employed to designate the sign of rotation of plane-polarized light by the compound, with (−) or 1 meaning that the compound is levorotatory. A compound prefixed with (+) or d is dextrorotatory. For a given chemical structure, these stereoisomers are identical except that they are mirror images of one another. A specific stereoisomer may also be referred to as an enantiomer, and a mixture of such isomers is often called an enantiomeric mixture. A 50:50 mixture of enantiomers is referred to as a racemic mixture or a racemate, which may occur where there has been no stereoselection or stereospecificity in a chemical reaction or process. The terms “racemic mixture” and “racemate” refer to an equimolar mixture of two enantiomeric species, devoid of optical activity.

Other terms, definitions and abbreviations herein include: Wild-type (“WT”); Cysteine engineered mutant antibody (“thio”); light chain (“LC”); heavy chain (“HC”); 6-maleimidocaproyl (“MC”); maleimidopropanoyl (“MP”); valine-citrulline (“val-cit” or “vc”), alanine-phenylalanine (“ala-phe”), p-aminobenzyl (“PAB”), and p-aminobenzyloxycarbonyl (“PABC”); A 118C (EU numbering)=A121C (Sequential numbering)=A 114C (Kabat numbering) of heavy chain K149C (Kabat numbering) of light chain. Still additional definitions and abbreviations are provided elsehwere herein.

II. PROTAC-Antibody Conjugate (PAC)

The PROTAC-Antibody Conjugate (PAC) molecules described herein comprise an antibody conjugated via a linker (L1) to a PROTAC, wherein the PROTAC comprises a ubiquitin E3 ligase binding groug (“E3LB”), a linker (“L2”) and a protein binding group (“PB”). The general formula of a PAC is:

Ab-(L1-D)_(p),

wherein, D is PROTAC having the structure E3LB-L2-PB; wherein, E3LB is an E3 ligase binding group covalently bound to L2; L2 is a linker covalently bound to E3LB and PB; PB is a protein binding group covalently bound to L2; Ab is an antibody covalently bound to L1; L1 is a linker, covalently bound to Ab and to D; and p has a value from about 1 to about 50. The variable p reflects that an antibody can be connected to one or more L1-D groups. In one embodiment, p is from about 1 to 8. In another embodiment, p is about 2.

The following sections describe the components that comprise the PAC. To obtain a PAC having potent efficacy and a desirable therapeutic index, the following components are provided.

1. Antibody (Ab)

As described herein, antibodies, e.g., a monoclonal antibodies (mABs) are used to deliver a PROTAC to target cells, e.g., cells that express the specific protein that is targeted by the antibody. The antibody portion of a PAC can target a cell that expresses an antigen whereby the antigen specific PAC is delivered intracellularly to the target cell, typically through endocytosis While PACs that comprise an antibody directed to an antigen that is not found on the cell surface may result in less specific intracellular delivery of the PROTAC portion into the cell, the PAC may still undergo pinocytosis. The PACs and method of their use described herein advantageously utilize antibody recognition of the cellular surface and/or endocytosis of the PAC to deliver the PROTAC portion inside cells.

a. Human Antibodies

In certain embodiments, an antibody provided herein is a human antibody. Human antibodies can be produced using various techniques known in the art. Human antibodies are described generally in van Dijk and van de Winkel, Curr. Opin. Pharmacol. 5: 368-74 (2001) and Lonberg, Curr. Opin. Immunol. 20:450-459 (2008).

Human antibodies may be prepared by administering an immunogen to a transgenic animal that has been modified to produce intact human antibodies or intact antibodies with human variable regions in response to antigenic challenge. Such animals typically contain all or a portion of the human immunoglobulin loci, which replace the endogenous immunoglobulin loci, or which are present extrachromosomally or integrated randomly into the animal's chromosomes. In such transgenic mice, the endogenous immunoglobulin loci have generally been inactivated. For review of methods for obtaining human antibodies from transgenic animals, see Lonberg, Nat. Biotech. 23:1117-1125 (2005). See also, e.g., U.S. Pat. Nos. 6,075,181 and 6,150,584 describing XENOMOUSE™ technology; U.S. Pat. No. 5,770,429 describing HUMAB® technology; U.S. Pat. No. 7,041,870 describing K-M MOUSE® technology, and U.S. Patent Application Publication No. US 2007/0061900, describing VELOCIMOUSE® technology). Human variable regions from intact antibodies generated by such animals may be further modified, e.g., by combining with a different human constant region.

Human antibodies can also be made by hybridoma-based methods. Human myeloma and mouse-human heteromyeloma cell lines for the production of human monoclonal antibodies have been described. (See, e.g., Kozbor J. Immunol., 133: 3001 (1984); Brodeur et al., Monoclonal Antibody Production Techniques and Applications, pp. 51-63 (Marcel Dekker, Inc., New York, 1987); and Boerner et al., J. Immunol., 147: 86 (1991).) Human antibodies generated via human B-cell hybridoma technology are also described in Li et al., Proc. Natl. Acad. Sci. USA, 103:3557-3562 (2006). Additional methods include those described, for example, in U.S. Pat. No. 7,189,826 (describing production of monoclonal human IgM antibodies from hybridoma cell lines) and Ni, Xiandai Mianyixue, 26(4):265-268 (2006) (describing human-human hybridomas). Human hybridoma technology (Trioma technology) is also described in Vollmers and Brandlein, Histology and Histopathology, 20(3):927-937 (2005) and Vollmers and Brandlein, Methods and Findings in Experimental and Clinical Pharmacology, 27(3):185-91 (2005).

Human antibodies may also be generated by isolating Fv clone variable domain sequences selected from human-derived phage display libraries. Such variable domain sequences may then be combined with a desired human constant domain. Techniques for selecting human antibodies from antibody libraries are described below.

b. Library-Derived Antibodies

Antibodies for use in a PAC may be isolated by screening combinatorial libraries for antibodies with the desired activity or activities. For example, a variety of methods are known in the art for generating phage display libraries and screening such libraries for antibodies possessing the desired binding characteristics. Such methods are reviewed, e.g., in Hoogenboom et al. in Methods in Molecular Biology 178:1-37 (O'Brien et al., ed., Human Press, Totowa, N J, 2001) and further described, e.g., in the McCafferty et al., Nature 348:552-554; Clackson et al., Nature 352: 624-628 (1991); Marks et al., J. Mol. Biol. 222: 581-597 (1992); Marks and Bradbury, in Methods in Molecular Biology 248:161-175 (Lo, ed., Human Press, Totowa, N J, 2003); Sidhu et al., J. Mol. Biol. 338(2): 299-310 (2004); Lee et al., J. Mol. Biol. 340(5): 1073-1093 (2004); Fellouse, Proc. Natl. Acad. Sci. USA 101(34): 12467-12472 (2004); and Lee et al., J. Immunol. Methods 284(1-2): 119-132(2004).

In certain phage display methods, repertoires of VH and VL genes are separately cloned by polymerase chain reaction (PCR) and recombined randomly in phage libraries, which can then be screened for antigen-binding phage as described in Winter et al., Ann. Rev. Immunol., 12: 433-455 (1994). Phage typically display antibody fragments, either as single-chain Fv (scFv) fragments or as Fab fragments. Libraries from immunized sources provide high-affinity antibodies to the immunogen without the requirement of constructing hybridomas. Alternatively, the naive repertoire can be cloned (e.g., from human) to provide a single source of antibodies to a wide range of non-self and also self antigens without any immunization as described by Griffiths et al., EMBO J, 12: 725-734 (1993). Finally, naive libraries can also be made synthetically by cloning unrearranged V-gene segments from stem cells, and using PCR primers containing random sequence to encode the highly variable CDR3 regions and to accomplish rearrangement in vitro, as described by Hoogenboom and Winter, J. Mol. Biol., 227: 381-388 (1992). Patent publications describing human antibody phage libraries include, for example: U.S. Pat. No. 5,750,373, and US Patent Publication Nos. 2005/0079574, 2005/0119455, 2005/0266000, 2007/0117126, 2007/0160598, 2007/0237764, 2007/0292936, and 2009/0002360.

Antibodies or antibody fragments isolated from human antibody libraries are considered human antibodies or human antibody fragments herein.

c. Chimeric and Humanized Antibodies

In certain embodiments, an antibody provided herein is a chimeric antibody. Certain chimeric antibodies are described, e.g., in U.S. Pat. No. 4,816,567; and Morrison et al., Proc. Natl. Acad. Sci. USA, 81:6851-6855 (1984)). In one example, a chimeric antibody comprises a non-human variable region (e.g., a variable region derived from a mouse, rat, hamster, rabbit, or non-human primate, such as a monkey) and a human constant region. In a further example, a chimeric antibody is a “class switched” antibody in which the class or subclass has been changed from that of the parent antibody. Chimeric antibodies include antigen-binding fragments thereof.

In certain embodiments, a chimeric antibody is a humanized antibody. Typically, a non-human antibody is humanized to reduce immunogenicity to humans, while retaining the specificity and affinity of the parental non-human antibody. Generally, a humanized antibody comprises one or more variable domains in which HVRs, e.g., CDRs, (or portions thereof) are derived from a non-human antibody, and FRs (or portions thereof) are derived from human antibody sequences. A humanized antibody optionally will also comprise at least a portion of a human constant region. In some embodiments, some FR residues in a humanized antibody are substituted with corresponding residues from a non-human antibody (e.g., the antibody from which the HVR residues are derived), e.g., to restore or improve antibody specificity or affinity.

Humanized antibodies and methods of making them are reviewed, e.g., in Almagro and Fransson, Front. Biosci. 13:1619-1633 (2008), and are further described, e.g., in Riechmann et al., Nature 332:323-329 (1988); Queen et al., Proc. Nat'l Acad. Sci. USA 86:10029-10033 (1989); U.S. Pat. Nos. 5,821,337, 7,527,791, 6,982,321, and 7,087,409; Kashmiri et al., Methods 36:25-34 (2005) (describing SDR (a-CDR) grafting); Padlan, Mol. Immunol. 28:489-498 (1991) (describing “resurfacing”); Dall'Acqua et al., Methods 36:43-60 (2005) (describing “FR shuffling”); and Osbourn et al., Methods 36:61-68 (2005) and Klimka et al., Br. J. Cancer, 83:252-260 (2000) (describing the “guided selection” approach to FR shuffling).

Human framework regions that may be used for humanization include but are not limited to: framework regions selected using the “best-fit” method (see, e.g., Sims et al. J. Immunol. 151:2296 (1993)); framework regions derived from the consensus sequence of human antibodies of a particular subgroup of light or heavy chain variable regions (see, e.g., Carter et al. Proc. Natl. Acad. Sci. USA, 89:4285 (1992); and Presta et al. J. Immunol., 151:2623 (1993)); human mature (somatically mutated) framework regions or human germline framework regions (see, e.g., Almagro and Fransson, Front. Biosci. 13:1619-1633 (2008)); and framework regions derived from screening FR libraries (see, e.g., Baca et al., J. Biol. Chem. 272:10678-10684 (1997) and Rosok et al., J. Biol. Chem. 271:22611-22618 (1996)).

d. Multispecific Antibodies

In certain embodiments, an antibody provided herein is a multispecific antibody, e.g. a bispecific antibody. The term “multispecific antibody” as used herein refers to an antibody comprising an antigen-binding domain that has polyepitopic specificity (i.e., is capable of binding to two, or more, different epitopes on one molecule or is capable of binding to epitopes on two, or more, different molecules).

In some embodiments, multispecific antibodies are monoclonal antibodies that have binding specificities for at least two different antigen binding sites (such as a bispecific antibody). In some embodiments, the first antigen-binding domain and the second antigen-binding domain of the multispecific antibody may bind the two epitopes within one and the same molecule (intramolecular binding). For example, the first antigen-binding domain and the second antigen-binding domain of the multispecific antibody may bind to two different epitopes on the same protein molecule. In certain embodiments, the two different epitopes that a multispecific antibody binds are epitopes that are not normally bound at the same time by one monospecific antibody, such as e.g. a conventional antibody or one immunoglobulin single variable domain. In some embodiments, the first antigen-binding domain and the second antigen-binding domain of the multispecific antibody may bind epitopes located within two distinct molecules (intermolecular binding). For example, the first antigen-binding domain of the multispecific antibody may bind to one epitope on one protein molecule, whereas the second antigen-binding domain of the multispecific antibody may bind to another epitope on a different protein molecule, thereby cross-linking the two molecules.

In some embodiments, the antigen-binding domain of a multispecific antibody (such as a bispecific antibody) comprises two VH/VL units, wherein a first VH/VL unit binds to a first epitope and a second VH/VL unit binds to a second epitope, wherein each VH/VL unit comprises a heavy chain variable domain (VH) and a light chain variable domain (VL). Such multispecific antibodies include, but are not limited to, full length antibodies, antibodies having two or more VL and VH domains, and antibody fragments (such as Fab, Fv, dsFv, scFv, diabodies, bispecific diabodies and triabodies, antibody fragments that have been linked covalently or non-covalently). A VH/VL unit that further comprises at least a portion of a heavy chain variable region and/or at least a portion of a light chain variable region may also be referred to as an “arm” or “hemimer” or “half antibody.” In some embodiments, a hemimer comprises a sufficient portion of a heavy chain variable region to allow intramolecular disulfide bonds to be formed with a second hemimer. In some embodiments, a hemimer comprises a knob mutation or a hole mutation, for example, to allow heterodimerization with a second hemimer or half antibody that comprises a complementary hole mutation or knob mutation. Knob mutations and hole mutations are discussed further below.

In certain embodiments, a multispecific antibody provided herein may be a bispecific antibody. The term “bispecific antibody” as used herein refers to a multispecific antibody comprising an antigen-binding domain that is capable of binding to two different epitopes on one molecule or is capable of binding to epitopes on two different molecules. A bispecific antibody may also be referred to herein as having “dual specificity” or as being “dual specific.” Exemplary bispecific antibodies may bind both protein and any other antigen. In certain embodiments, one of the binding specificities is for protein and the other is for CD3. See, e.g., U.S. Pat. No. 5,821,337. In certain embodiments, bispecific antibodies may bind to two different epitopes of the same protein molecule. In certain embodiments, bispecific antibodies may bind to two different epitopes on two different protein molecules. Bispecific antibodies may also be used to localize cytotoxic agents to cells which express protein. Bispecific antibodies can be prepared as full length antibodies or antibody fragments.

Techniques for making multispecific antibodies include, but are not limited to, recombinant co-expression of two immunoglobulin heavy chain-light chain pairs having different specificities (see Milstein and Cuello, Nature 305: 537 (1983), WO 93/08829, and Traunecker et al., EMBO J. 10: 3655 (1991)), and “knob-in-hole” engineering (see, e.g., U.S. Pat. No. 5,731,168, WO2009/089004, US2009/0182127, US2011/0287009, Marvin and Zhu, Acta Pharmacol. Sin. (2005) 26(6):649-658, and Kontermann (2005) Acta Pharmacol. Sin., 26:1-9). The term “knob-into-hole” or “KnH” technology as used herein refers to the technology directing the pairing of two polypeptides together in vitro or in vivo by introducing a protuberance (knob) into one polypeptide and a cavity (hole) into the other polypeptide at an interface in which they interact. For example, KnHs have been introduced in the Fc:Fc binding interfaces, CL:CH1 interfaces or VH/VL interfaces of antibodies (see, e.g., US 2011/0287009, US2007/0178552, WO 96/027011, WO 98/050431, Zhu et al., 1997, Protein Science 6:781-788, and WO2012/106587). In some embodiments, KnHs drive the pairing of two different heavy chains together during the manufacture of multispecific antibodies. For example, multispecific antibodies having KnH in their Fc regions can further comprise single variable domains linked to each Fc region, or further comprise different heavy chain variable domains that pair with similar or different light chain variable domains. KnH technology can be also be used to pair two different receptor extracellular domains together or any other polypeptide sequences that comprises different target recognition sequences (e.g., including affibodies, peptibodies and other Fc fusions).

The term “knob mutation” as used herein refers to a mutation that introduces a protuberance (knob) into a polypeptide at an interface in which the polypeptide interacts with another polypeptide. In some embodiments, the other polypeptide has a hole mutation.

The term “hole mutation” as used herein refers to a mutation that introduces a cavity (hole) into a polypeptide at an interface in which the polypeptide interacts with another polypeptide. In some embodiments, the other polypeptide has a knob mutation.

A “protuberance” refers to at least one amino acid side chain which projects from the interface of a first polypeptide and is therefore positionable in a compensatory cavity in the adjacent interface (i.e. the interface of a second polypeptide) so as to stabilize the heteromultimer, and thereby favor heteromultimer formation over homomultimer formation, for example. The protuberance may exist in the original interface or may be introduced synthetically (e.g., by altering nucleic acid encoding the interface). In some embodiments, nucleic acid encoding the interface of the first polypeptide is altered to encode the protuberance. To achieve this, the nucleic acid encoding at least one “original” amino acid residue in the interface of the first polypeptide is replaced with nucleic acid encoding at least one “import” amino acid residue which has a larger side chain volume than the original amino acid residue. It will be appreciated that there can be more than one original and corresponding import residue. The side chain volumes of the various amino residues are shown, for example, in Table 1 of US2011/0287009. A mutation to introduce a “protuberance” may be referred to as a “knob mutation.”

In some embodiments, import residues for the formation of a protuberance are naturally occurring amino acid residues selected from arginine (R), phenylalanine (F), tyrosine (Y) and tryptophan (W). In some embodiments, an import residue is tryptophan or tyrosine. In some embodiment, the original residue for the formation of the protuberance has a small side chain volume, such as alanine, asparagine, aspartic acid, glycine, serine, threonine or valine.

A “cavity” refers to at least one amino acid side chain which is recessed from the interface of a second polypeptide and therefore accommodates a corresponding protuberance on the adjacent interface of a first polypeptide. The cavity may exist in the original interface or may be introduced synthetically (e.g. by altering nucleic acid encoding the interface). In some embodiments, nucleic acid encoding the interface of the second polypeptide is altered to encode the cavity. To achieve this, the nucleic acid encoding at least one “original” amino acid residue in the interface of the second polypeptide is replaced with DNA encoding at least one “import” amino acid residue which has a smaller side chain volume than the original amino acid residue. It will be appreciated that there can be more than one original and corresponding import residue. In some embodiments, import residues for the formation of a cavity are naturally occurring amino acid residues selected from alanine (A), serine (S), threonine (T) and valine (V). In some embodiments, an import residue is serine, alanine or threonine. In some embodiments, the original residue for the formation of the cavity has a large side chain volume, such as tyrosine, arginine, phenylalanine or tryptophan. A mutation to introduce a “cavity” may be referred to as a “hole mutation.”

The protuberance is “positionable” in the cavity which means that the spatial location of the protuberance and cavity on the interface of a first polypeptide and second polypeptide respectively and the sizes of the protuberance and cavity are such that the protuberance can be located in the cavity without significantly perturbing the normal association of the first and second polypeptides at the interface. Since protuberances such as Tyr, Phe and Trp do not typically extend perpendicularly from the axis of the interface and have preferred conformations, the alignment of a protuberance with a corresponding cavity may, in some instances, rely on modeling the protuberance/cavity pair based upon a three-dimensional structure such as that obtained by X-ray crystallography or nuclear magnetic resonance (NMR). This can be achieved using widely accepted techniques in the art.

In some embodiments, a knob mutation in an IgG1 constant region is T366W (EU numbering). In some embodiments, a hole mutation in an IgG1 constant region comprises one or more mutations selected from T366S, L368A and Y407V (EU numbering). In some embodiments, a hole mutation in an IgG1 constant region comprises T366S, L368A and Y407V (EU numbering).

In some embodiments, a knob mutation in an IgG4 constant region is T366W (EU numbering). In some embodiments, a hole mutation in an IgG4 constant region comprises one or more mutations selected from T366S, L368A, and Y407V (EU numbering). In some embodiments, a hole mutation in an IgG4 constant region comprises T366S, L368A, and Y407V (EU numbering).

Multispecific antibodies may also be made by engineering electrostatic steering effects for making antibody Fc-heterodimeric molecules (WO 2009/089004A1); cross-linking two or more antibodies or fragments (see, e.g., U.S. Pat. No. 4,676,980, and Brennan et al., Science, 229: 81 (1985)); using leucine zippers to produce bi-specific antibodies (see, e.g., Kostelny et al., J. Immunol., 148(5):1547-1553 (1992)); using “diabody” technology for making bispecific antibody fragments (see, e.g., Hollinger et al., Proc. Natl. Acad. Sci. USA, 90:6444-6448 (1993)); and using single-chain Fv (sFv) dimers (see, e.g. Gruber et al., J. Immunol., 152:5368 (1994)); and preparing trispecific antibodies as described, e.g., in Tutt et al. J. Immunol. 147: 60 (1991).

Engineered antibodies with three or more functional antigen binding sites, including “Octopus antibodies” or “dual-variable domain immunoglobulins” (DVDs) are also included herein (see, e.g., US 2006/0025576A1, and Wu et al. Nature Biotechnology (2007)). The antibody or fragment herein also includes a “Dual Acting FAb” or “DAF” comprising an antigen binding site that binds to a target protein as well as another, different antigen (see, US 2008/0069820, for example).

e. Antibody Fragments

In certain embodiments, an antibody provided herein is an antibody fragment. Antibody fragments include, but are not limited to, Fab, Fab′, Fab′-SH, F(ab′)₂, Fv, and scFv fragments, and other fragments described below. For a review of certain antibody fragments, see Hudson et al. Nat. Med. 9:129-134 (2003). For a review of scFv fragments, see, e.g., Pluckthün, in The Pharmacology of Monoclonal Antibodies, vol. 113, Rosenburg and Moore eds., (Springer-Verlag, New York), pp. 269-315 (1994); see also WO 93/16185; and U.S. Pat. Nos. 5,571,894 and 5,587,458. For discussion of Fab and F(ab′)₂ fragments comprising salvage receptor binding epitope residues and having increased in vivo half-life, see U.S. Pat. No. 5,869,046.

Diabodies are antibody fragments with two antigen-binding sites that may be bivalent or bispecific. See, for example, EP 404,097; WO 1993/01161; Hudson et al., Nat. Med. 9:129-134 (2003); and Hollinger et al., Proc. Natl. Acad. Sci. USA 90: 6444-6448 (1993). Triabodies and tetrabodies are also described in Hudson et al., Nat. Med. 9:129-134 (2003).

Single-domain antibodies are antibody fragments comprising all or a portion of the heavy chain variable domain or all or a portion of the light chain variable domain of an antibody. In certain embodiments, a single-domain antibody is a human single-domain antibody (Domantis, Inc., Waltham, MA; see, e.g., U.S. Pat. No. 6,248,516 B1).

Antibody fragments can be made by various techniques, including but not limited to proteolytic digestion of an intact antibody as well as production by recombinant host cells (e.g. E. coli or phage), as described herein.

f. Antibody Variants

In certain embodiments, amino acid sequence variants of the antibodies provided herein are contemplated. For example, it may be desirable to improve the binding affinity and/or other biological properties of the antibody. Amino acid sequence variants of an antibody may be prepared by introducing appropriate modifications into the nucleotide sequence encoding the antibody, or by peptide synthesis. Such modifications include, for example, deletions from, and/or insertions into and/or substitutions of residues within the amino acid sequences of the antibody. Any combination of deletion, insertion, and substitution can be made to arrive at the final construct, provided that the final construct possesses the desired characteristics, e.g., antigen-binding.

i. Substitution, Insertion, and Deletion Variants

In certain embodiments, antibody variants having one or more amino acid substitutions are provided. Sites of interest for substitutional mutagenesis include the HVRs and FRs. Conservative substitutions are shown in Table 1 under the heading of “preferred substitutions.” More substantial changes are provided in Table 1 under the heading of “exemplary substitutions,” and as further described below in reference to amino acid side chain classes. Amino acid substitutions may be introduced into an antibody of interest and the products screened for a desired activity, e.g., retained/improved antigen binding, decreased immunogenicity, or improved antibody-dependent cellular cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC).

TABLE 1 Amino acid substitutions. Original Exemplary Preferred Residue Substitutions Substitutions Ala (A) Val; Leu; Ile Val Arg (R) Lys; Gln; Asn Lys Asn (N) Gln; His; Asp, Lys; Arg Gln Asp (D) Glu; Asn Glu Cys (C) Ser; Ala Ser Gln (Q) Asn; Glu Asn Glu (E) Asp; Gln Asp Gly (G) Ala Ala His (H) Asn; Gln; Lys; Arg Arg Ile (I) Leu; Val; Met; Ala; Phe; Leu Norleucine Leu (L) Norleucine; Ile; Val; Met; Ala; Phe Ile Lys (K) Arg; Gln; Asn Arg Met (M) Leu; Phe; Ile Leu Phe (F) Trp; Leu; Val; Ile; Ala; Tyr Tyr Pro (P) Ala Ala Ser (S) Thr Thr Thr (T) Val; Ser Ser Trp (W) Tyr; Phe Tyr Tyr (Y) Trp; Phe; Thr; Ser Phe Val (V) Ile; Leu; Met; Phe; Ala; Norleucine Leu

Amino acids may be grouped according to common side-chain properties:

-   -   (1) hydrophobic: Norleucine, Met, Ala, Val, Leu, Ile;     -   (2) neutral hydrophilic: Cys, Ser, Thr, Asn, Gln;     -   (3) acidic: Asp, Glu;     -   (4) basic: His, Lys, Arg;     -   (5) residues that influence chain orientation: Gly, Pro;     -   (6) aromatic: Trp, Tyr, Phe.

Non-conservative substitutions will entail exchanging a member of one of these classes for another class.

One type of substitutional variant involves substituting one or more hypervariable region residues of a parent antibody (e.g. a humanized or human antibody). Generally, the resulting variant(s) selected for further study will have modifications (e.g., improvements) in certain biological properties (e.g., increased affinity, reduced immunogenicity) relative to the parent antibody and/or will have substantially retained certain biological properties of the parent antibody. An exemplary substitutional variant is an affinity matured antibody, which may be conveniently generated, e.g., using phage display-based affinity maturation techniques such as those described herein. Briefly, one or more HVR residues are mutated and the variant antibodies displayed on phage and screened for a particular biological activity (e.g. binding affinity).

Alterations (e.g., substitutions) may be made in HVRs, e.g., to improve antibody affinity. Such alterations may be made in HVR “hotspots,” i.e., residues encoded by codons that undergo mutation at high frequency during the somatic maturation process (see, e.g., Chowdhury, Methods Mol. Biol. 207:179-196 (2008)), and/or SDRs (a-CDRs), with the resulting variant VH or VL being tested for binding affinity. Affinity maturation by constructing and reselecting from secondary libraries has been described, e.g., in Hoogenboom et al. in Methods in Molecular Biology 178:1-37 (O'Brien et al., ed., Human Press, Totowa, NJ, (2001).) In some embodiments of affinity maturation, diversity is introduced into the variable genes chosen for maturation by any of a variety of methods (e.g., error-prone PCR, chain shuffling, or oligonucleotide-directed mutagenesis). A secondary library is then created. The library is then screened to identify any antibody variants with the desired affinity. Another method to introduce diversity involves HVR-directed approaches, in which several HVR residues (e.g., 4-6 residues at a time) are randomized. HVR residues involved in antigen binding may be specifically identified, e.g., using alanine scanning mutagenesis or modeling. CDR-H3 and CDR-L3 in particular are often targeted.

In certain embodiments, substitutions, insertions, or deletions may occur within one or more HVRs so long as such alterations do not substantially reduce the ability of the antibody to bind antigen. For example, conservative alterations (e.g., conservative substitutions as provided herein) that do not substantially reduce binding affinity may be made in HVRs. Such alterations may be outside of HVR “hotspots” or SDRs. In certain embodiments of the variant VH and VL sequences provided above, each HVR either is unaltered, or contains no more than one, two or three amino acid substitutions.

A useful method for identification of residues or regions of an antibody that may be targeted for mutagenesis is called “alanine scanning mutagenesis” as described by Cunningham and Wells (1989) Science, 244:1081-1085. In this method, a residue or group of target residues (e.g., charged residues such as arg, asp, his, lys, and glu) are identified and replaced by a neutral or negatively charged amino acid (e.g., alanine or polyalanine) to determine whether the interaction of the antibody with antigen is affected. Further substitutions may be introduced at the amino acid locations demonstrating functional sensitivity to the initial substitutions. Alternatively, or additionally, a crystal structure of an antigen-antibody complex is used to identify contact points between the antibody and antigen. Such contact residues and neighboring residues may be targeted or eliminated as candidates for substitution. Variants may be screened to determine whether they contain the desired properties.

Amino acid sequence insertions include amino- and/or carboxyl-terminal fusions ranging in length from one residue to polypeptides containing a hundred or more residues, as well as intrasequence insertions of single or multiple amino acid residues. Examples of terminal insertions include an antibody with an N-terminal methionyl residue. Other insertional variants of the antibody molecule include the fusion to the N- or C-terminus of the antibody to an enzyme (e.g. for antibody directed enzyme prodrug therapy (ADEPT)) or a polypeptide which increases the serum half-life of the antibody.

ii. Cysteine Engineered Antibody Variants

In certain embodiments, it may be desirable to create cysteine engineered antibodies, e.g., “THIOMAB™ antibody,” in which one or more residues of an antibody are substituted with cysteine residues. In particular embodiments, the substituted residues occur at accessible sites of the antibody. By substituting those residues with cysteine, reactive thiol groups are thereby positioned at accessible sites of the antibody and may be used to conjugate the antibody to other moieties, such as L1-PROTAC groups, to create a PAC, as described further herein. In certain embodiments, any one or more of the following residues may be substituted with cysteine: V205 (Kabat numbering) of the light chain; A140 (EU numbering) of the heavy chain; L174 (EU numbering) of the heavy chain; Y373 (EU numbering) of the heavy chain; K149 (Kabat numbering) of the light chain; A118 (EU numbering) of the heavy chain; and S400 (EU numbering) of the heavy chain Fc region. In specific embodiments, the antibodies described herein comprise the HC-A140C (EU numbering) cysteine substitution. In specific embodiments, the antibodies described herein comprise the LC-K149C (Kabat numbering) cysteine substitution. In specific embodiments, the antibodies described herein comprise the HC-A118C (EU numbering) cysteine substitution.

Cysteine engineered antibodies may be generated as described, e.g., in U.S. Pat. No. 7,521,541.

In certain embodiments, the antibody comprises one of the following heavy chain cysteine substitutions:

TABLE 2 HC Cysteine Substitutions. Chain EU Mutation Kabat Mutation (HC/LC) Residue Site # Site # HC T 114 110 HC A 140 136 HC L 174 170 HC L 179 175 HC T 187 183 HC T 209 205 HC V 262 258 HC G 371 367 HC Y 373 369 HC E 382 378 HC S 424 420 HC N 434 430 HC Q 438 434

In certain embodiments, the antibody comprises one of the following light chain cysteine substitutions:

TABLE 3 LC Cysteine Substitutions. Chain EU Mutation Kabat Mutation (HC/LC) Residue Site # Site # LC I 106 106 LC R 108 108 LC R 142 142 LC K 149 149 LC V 205 205

A nonlimiting exemplary hu7C2.v2.2.LA light chain (LC) K149C THIOMAB™ antibody has the heavy chain and light chain amino acid sequences of SEQ ID NOs: 26 and 30, respectively. A nonlimiting exemplary hu7C2.v2.2.LA heavy chain (HC) A118C THIOMAB™ antibody has the heavy chain and light chain amino acid sequences of SEQ ID NOs: 31 and 25, respectively.

PACs include cysteine engineered antibodies where one or more amino acids of a wild-type or parent antibody are replaced with a cysteine amino acid. Any form of antibody may be so engineered, i.e. mutated. For example, a parent Fab antibody fragment may be engineered to form a cysteine engineered Fab, referred to herein as “ThioFab.” Similarly, a parent monoclonal antibody may be engineered to form a THIOMAB™ antibody It should be noted that a single site mutation yields a single engineered cysteine residue in a ThioFab, while a single site mutation yields two engineered cysteine residues in a THIOMAB™ antibody due to the dimeric nature of the IgG antibody. Mutants with replaced (“engineered”) cysteine (Cys) residues are evaluated for the reactivity of the newly introduced, engineered cysteine thiol groups. The thiol reactivity value is a relative, numerical term in the range of 0 to 1.0 and can be measured for any cysteine engineered antibody. Thiol reactivity values of cysteine engineered antibodies for use in a PAC are in the ranges of 0.6 to 1.0; 0.7 to 1.0; or 0.8 to 1.0.

To prepare a cysteine engineered antibody by mutagenesis, DNA encoding an amino acid sequence variant of the starting polypeptide is prepared by a variety of methods known in the art. These methods include, but are not limited to, preparation by site-directed (or oligonucleotide-mediated) mutagenesis, PCR mutagenesis, and cassette mutagenesis of an earlier prepared DNA encoding the polypeptide. Variants of recombinant antibodies may be constructed also by restriction fragment manipulation or by overlap extension PCR with synthetic oligonucleotides. Mutagenic primers encode the cysteine codon replacement(s). Standard mutagenesis techniques can be employed to generate DNA encoding such mutant cysteine engineered antibodies. General guidance can be found in Sambrook et al Molecular Cloning, A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., 1989; and Ausubel et al Current Protocols in Molecular Biology, Greene Publishing and Wiley-Interscience, New York, N.Y., 1993.

Cysteine amino acids may be engineered at reactive sites in an antibody and which do not form intrachain or intermolecular disulfide linkages (Junutula, et al., 2008b Nature Biotech., 26(8):925-932; Dornan et al (2009) Blood 114(13):2721-2729; U.S. Pat. Nos. 7,521,541; 7,723,485; WO2009/052249, Shen et al (2012) Nature Biotech., 30(2):184-191; Junutula et al (2008) Jour of Immun. Methods 332:41-52). The engineered cysteine thiols may react with linker reagents or the Linker L1-PROTAC intermediates described herein, which have thiol-reactive, electrophilic groups such as maleimides, activated disulfides (such as a 4-nitropyridyl disulfide), or alpha-halo amides to form a PAC with cysteine engineered antibodies (THIOMAB™ antibodies) and the PROTAC residue. The location of the PROTAC moiety can thus be designed, controlled, and known. PROTAC/antibody ratio (“PAR”) can be controlled since the engineered cysteine thiol groups typically react with thiol-reactive linker reagents or linker L1-PROTAC intermediates in high yield. Engineering an antibody to introduce a cysteine amino acid by substitution at a single site on the heavy or light chain gives two new cysteines on the symmetrical antibody. A PAR of about 2 can be achieved and near homogeneity of the conjugation product.

Cysteine engineered antibodies preferably retain the antigen binding capability of their wild type, parent antibody counterparts. Thus, cysteine engineered antibodies are capable of binding, preferably specifically, to antigens. Such antigens include, for example, tumor-associated antigens (TAA), cell surface receptor proteins and other cell surface molecules, transmembrane proteins, signaling proteins, cell survival regulatory factors, cell proliferation regulatory factors, molecules associated with (for e.g., known or suspected to contribute functionally to) tissue development or differentiation, lymphokines, cytokines, molecules involved in cell cycle regulation, molecules involved in vasculogenesis and molecules associated with (for e.g., known or suspected to contribute functionally to) angiogenesis. The tumor-associated antigen may be a cluster differentiation factor (i.e., a CD protein). An antigen to which a cysteine engineered antibody is capable of binding may be a member of a subset of one of the above-mentioned categories, wherein the other subset(s) of said category comprise other molecules/antigens that have a distinct characteristic (with respect to the antigen of interest).

Cysteine engineered antibodies are prepared for conjugation with linker L1 intermediates by reduction and reoxidation of intrachain disulfide groups.

iii. Glycosylation Variants

In certain embodiments, an antibody provided herein is altered to increase or decrease the extent to which the antibody is glycosylated. Addition or deletion of glycosylation sites to an antibody may be conveniently accomplished by altering the amino acid sequence such that one or more glycosylation sites is created or removed.

Where the antibody comprises an Fc region, the carbohydrate attached thereto may be altered. Native antibodies produced by mammalian cells typically comprise a branched, biantennary oligosaccharide that is generally attached by an N-linkage to Asn297 of the CH₂ domain of the Fc region. See, e.g., Wright et al. TIBTECH 15:26-32 (1997). The oligosaccharide may include various carbohydrates, e.g., mannose, N-acetyl glucosamine (GlcNAc), galactose, and sialic acid, as well as a fucose attached to a GlcNAc in the “stem” of the biantennary oligosaccharide structure. In some embodiments, modifications of the oligosaccharide in an antibody may be made in order to create antibody variants with certain improved properties.

In one embodiment, antibody variants are provided having a carbohydrate structure that lacks fucose attached (directly or indirectly) to an Fc region. For example, the amount of fucose in such antibody may be from 1% to 80%, from 1% to 65%, from 5% to 65% or from 20% to 40%. The amount of fucose is determined by calculating the average amount of fucose within the sugar chain at Asn297, relative to the sum of all glycostructures attached to Asn 297 (e.g. complex, hybrid and high mannose structures) as measured by MALDI-TOF mass spectrometry, as described in WO 2008/077546, for example. Asn297 refers to the asparagine residue located at about position 297 in the Fc region (Eu numbering of Fc region residues); however, Asn297 may also be located about ±3 amino acids upstream or downstream of position 297, i.e., between positions 294 and 300, due to minor sequence variations in antibodies. Such fucosylation variants may have improved ADCC function. See, e.g., US Patent Publication Nos. US 2003/0157108 (Presta, L.); US 2004/0093621 (Kyowa Hakko Kogyo Co., Ltd). Examples of publications related to “defucosylated” or “fucose-deficient” antibody variants include: US 2003/0157108; WO 2000/61739; WO 2001/29246; US 2003/0115614; US 2002/0164328; US 2004/0093621; US 2004/0132140; US 2004/0110704; US 2004/0110282; US 2004/0109865; WO 2003/085119; WO 2003/084570; WO 2005/035586; WO 2005/035778; WO2005/053742; WO2002/031140; Okazaki et al. J. Mol. Biol. 336:1239-1249 (2004); Yamane-Ohnuki et al. Biotech. Bioeng. 87: 614 (2004). Examples of cell lines capable of producing defucosylated antibodies include Lec13 CHO cells deficient in protein fucosylation (Ripka et al. Arch. Biochem. Biophys. 249:533-545 (1986); US Pat Appl No US 2003/0157108 A1, Presta, L; and WO 2004/056312 A1, Adams et al., especially at Example 11), and knockout cell lines, such as alpha-1,6-fucosyltransferase gene, FUT8, knockout CHO cells (see, e.g., Yamane-Ohnuki et al. Biotech. Bioeng. 87: 614 (2004); Kanda, Y. et al., Biotechnol. Bioeng., 94(4):680-688 (2006); and WO2003/085107).

Antibodies variants are further provided with bisected oligosaccharides, e.g., in which a biantennary oligosaccharide attached to the Fc region of the antibody is bisected by GlcNAc. Such antibody variants may have reduced fucosylation and/or improved ADCC function. Examples of such antibody variants are described, e.g., in WO 2003/011878 (Jean-Mairet et al.); U.S. Pat. No. 6,602,684 (Umana et al.); and US 2005/0123546 (Umana et al.). Antibody variants with at least one galactose residue in the oligosaccharide attached to the Fc region are also provided. Such antibody variants may have improved CDC function. Such antibody variants are described, e.g., in WO 1997/30087 (Patel et al.); WO 1998/58964 (Raju, S.); and WO 1999/22764 (Raju, S.).

iv. Fc Region Variants

In certain embodiments, one or more amino acid modifications may be introduced into the Fc region of an antibody provided herein, thereby generating an Fc region variant. The Fc region variant may comprise a human Fc region sequence (e.g., a human IgG1, IgG2, IgG3 or IgG4 Fc region) comprising an amino acid modification (e.g. a substitution) at one or more amino acid positions.

In certain embodiments, the subject matter described herein is directed to an antibody variant that possesses some but not all effector functions, which make it a desirable candidate for applications in which the half-life of the antibody in vivo is important yet certain effector functions (such as complement and ADCC) are unnecessary or deleterious. In vitro and/or in vivo cytotoxicity assays can be conducted to confirm the reduction/depletion of CDC and/or ADCC activities. For example, Fc receptor (FcR) binding assays can be conducted to ensure that the antibody lacks FcγR binding (hence likely lacking ADCC activity), but retains FcRn binding ability. The primary cells for mediating ADCC, NK cells, express Fc (RIII only, whereas monocytes express Fc(RI, Fc(RII and Fc(RIII. FcR expression on hematopoietic cells is summarized in Table 3 on page 464 of Ravetch and Kinet, Annu. Rev. Immunol. 9:457-492 (1991). Non-limiting examples of in vitro assays to assess ADCC activity of a molecule of interest is described in U.S. Pat. No. 5,500,362 (see, e.g. Hellstrom, I. et al. Proc. Nat'l Acad. Sci. USA 83:7059-7063 (1986)) and Hellstrom, I et al., Proc. Nat'l Acad. Sci. USA 82:1499-1502 (1985); 5,821,337 (see Bruggemann, M. et al., J. Exp. Med. 166:1351-1361 (1987)). Alternatively, non-radioactive assays methods may be employed (see, for example, ACTI™ non-radioactive cytotoxicity assay for flow cytometry (CellTechnology, Inc. Mountain View, CA; and CytoTox 96® non-radioactive cytotoxicity assay (Promega, Madison, WI). Useful effector cells for such assays include peripheral blood mononuclear cells (PBMC) and Natural Killer (NK) cells. Alternatively, or additionally, ADCC activity of the molecule of interest may be assessed in vivo, e.g., in a animal model such as that disclosed in Clynes et al. Proc. Nat'l Acad. Sci. USA 95:652-656 (1998). C1q binding assays may also be carried out to confirm that the antibody is unable to bind C1q and hence lacks CDC activity. See, e.g., C1q and C3c binding ELISA in WO 2006/029879 and WO 2005/100402. To assess complement activation, a CDC assay may be performed (see, for example, Gazzano-Santoro et al., J. Immunol. Methods 202:163 (1996); Cragg, M. S. et al., Blood 101:1045-1052 (2003); and Cragg, M. S. and M. J. Glennie, Blood 103:2738-2743 (2004)). FcRn binding and in vivo clearance/half life determinations can also be performed using methods known in the art (see, e.g., Petkova, S. B. et al., Int'l. Immunol. 18(12):1759-1769 (2006)).

In some embodiments, one or more amino acid modifications may be introduced into the Fc portion of the antibody provided herein in order to increase IgG binding to the neonatal Fc receptor. In certain embodiments, the antibody comprises the following three mutations according to EU numbering: M252Y, S254T, and T256E (the “YTE mutation”) (U.S. Pat. No. 8,697,650; see also Dall'Acqua et al., Journal of Biological Chemistry 281(33):23514-23524 (2006). In certain embodiments, the YTE mutation does not affect the ability of the antibody to bind to its cognate antigen. In certain embodiments, the YTE mutation increases the antibody's serum half-life compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half-life of the antibody by 3-fold compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half-life of the antibody by 2-fold compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half-life of the antibody by 4-fold compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half-life of the antibody by at least 5-fold compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half-life of the antibody by at least 10-fold compared to the native (i.e., non-YTE mutant) antibody. See, e.g., U.S. Pat. No. 8,697,650; see also Dall'Acqua et al., Journal of Biological Chemistry 281(33):23514-23524 (2006).

In certain embodiments, the YTE mutant provides a means to modulate antibody-dependent cell-mediated cytotoxicity (ADCC) activity of the antibody. In certain embodiments, the YTEO mutant provides a means to modulate ADCC activity of a humanized IgG antibody directed against a human antigen. See, e.g., U.S. Pat. No. 8,697,650; see also Dall'Acqua et al., Journal of Biological Chemistry 281(33):23514-23524 (2006).

In certain embodiments, the YTE mutant allows the simultaneous modulation of serum half-life, tissue distribution, and antibody activity (e.g., the ADCC activity of an IgG antibody). See, e.g., U.S. Pat. No. 8,697,650; see also Dall'Acqua et al., Journal of Biological Chemistry 281(33):23514-23524 (2006).

Antibodies with reduced effector function include those with substitution of one or more of Fc region residues 238, 265, 269, 270, 297, 327 and 329 according to EU numbering (U.S. Pat. No. 6,737,056). Such Fc mutants include Fc mutants with substitutions at two or more of amino acid positions 265, 269, 270, 297 and 327 according to EU numbering, including the so-called “DANA” Fc mutant with substitution of residues 265 and 297 to alanine according to EU numbering (i.e., D265A and N297A according to EU numbering) (U.S. Pat. No. 7,332,581). In certain embodiments the Fc mutant comprises the following two amino acid substitutions: D265A and N297A. In certain embodiments the Fc mutant consists of the following two amino acid substitutions: D265A and N297A.

In certain embodiments, the proline at position329 (EU numbering) (P329) of a wild-type human Fc region is substituted with glycine or arginine or an amino acid residue large enough to destroy the proline sandwich within the Fc/Fcγ receptor interface, that is formed between the P329 of the Fc and tryptophane residues W87 and W110 of FcgRIII (Sondermann et al.: Nature 406, 267-273 (20 Jul. 2000)). In a further embodiment, at least one further amino acid substitution in the Fc variant is S228P, E233P, L234A, L235A, L235E, N297A, N297D, or P331S and still in another embodiment said at least one further amino acid substitution is L234A and L235A of the human IgG1 Fc region or S228P and L235E of the human IgG4 Fc region, all according to EU numbering (U.S. Pat. No. 8,969,526).

In certain embodiments, a polypeptide comprises the Fc variant of a wild-type human IgG Fc region wherein the polypeptide has P329 of the human IgG Fc region substituted with glycine and wherein the Fc variant comprises at least two further amino acid substitutions at L234A and L235A of the human IgG1 Fc region or S228P and L235E of the human IgG4 Fc region, and wherein the residues are numbered according to the EU numbering (U.S. Pat. No. 8,969,526). In certain embodiments, the polypeptide comprising the P329G, L234A and L235A (EU numbering) substitutions exhibit a reduced affinity to the human FcγRIIIA and FcγRIIA, for down-modulation of ADCC to at least 20% of the ADCC induced by the polypeptide comprising the wild-type human IgG Fc region, and/or for down-modulation of ADCP (U.S. Pat. No. 8,969,526).

In a specific embodiment the polypeptide comprising an Fc variant of a wild-type human Fc polypeptide comprises a triple mutation: an amino acid substitution at position Pro329, a L234A and a L235A mutation according to EU numbering (P329/LALA) (U.S. Pat. No. 8,969,526). In specific embodiments, the polypeptide comprises the following amino acid substitutions: P329G, L234A, and L235A according to EU numbering.

Certain antibody variants with improved or diminished binding to FcRs are described. (See, e.g., U.S. Pat. No. 6,737,056; WO 2004/056312, and Shields et al., J. Biol. Chem. 9(2): 6591-6604 (2001).)

In certain embodiments, an antibody variant comprises an Fc region with one or more amino acid substitutions which improve ADCC, e.g., substitutions at positions 298, 333, and/or 334 of the Fc region (EU numbering).

In some embodiments, alterations are made in the Fc region that result in altered (i.e., either improved or diminished) C1q binding and/or Complement Dependent Cytotoxicity (CDC), e.g., as described in U.S. Pat. No. 6,194,551, WO 99/51642, and Idusogie et al. J. Immunol. 164: 4178-4184 (2000).

Antibodies with increased half lives and improved binding to the neonatal Fc receptor (FcRn), which is responsible for the transfer of maternal IgGs to the fetus (Guyer et al., J. Immunol. 117:587 (1976) and Kim et al., J. Immunol. 24:249 (1994)), are described in US2005/0014934A1 (Hinton et al.). Those antibodies comprise an Fc region with one or more substitutions therein which improve binding of the Fc region to FcRn. Such Fc variants include those with substitutions at one or more of Fc region residues: 238, 256, 265, 272, 286, 303, 305, 307, 311, 312, 317, 340, 356, 360, 362, 376, 378, 380, 382, 413, 424 or 434, e.g., substitution of Fc region residue 434 (U.S. Pat. No. 7,371,826) according to EU numbering. See also Duncan & Winter, Nature 322:738-40 (1988); U.S. Pat. Nos. 5,648,260; 5,624,821; and WO 94/29351 concerning other examples of Fc region variants.

g. Antibody Derivatives

In certain embodiments, an antibody provided herein may be further modified to contain additional nonproteinaceous moieties that are known in the art and readily available. The moieties suitable for derivatization of the antibody include but are not limited to water soluble polymers. Non-limiting examples of water soluble polymers include, but are not limited to, polyethylene glycol (PEG), copolymers of ethylene glycol/propylene glycol, carboxymethylcellulose, dextran, polyvinyl alcohol, polyvinyl pyrrolidone, poly-1, 3-dioxolane, poly-1,3,6-trioxane, ethylene/maleic anhydride copolymer, polyaminoacids (either homopolymers or random copolymers), and dextran or poly(n-vinyl pyrrolidone)polyethylene glycol, propylene glycol homopolymers, polypropylene oxide/ethylene oxide co-polymers, polyoxyethylated polyols (e.g., glycerol), polyvinyl alcohol, and mixtures thereof. Polyethylene glycol propionaldehyde may have advantages in manufacturing due to its stability in water. The polymer may be of any molecular weight, and may be branched or unbranched. The number of polymers attached to the antibody may vary, and if more than one polymer is attached, they can be the same or different molecules. In general, the number and/or type of polymers used for derivatization can be determined based on considerations including, but not limited to, the particular properties or functions of the antibody to be improved, whether the antibody derivative will be used in a therapy under defined conditions, etc.

In another embodiment, conjugates of an antibody and nonproteinaceous moiety that may be selectively heated by exposure to radiation are provided. In one embodiment, the nonproteinaceous moiety is a carbon nanotube (Kam et al., Proc. Natl. Acad. Sci. USA 102: 11600-11605 (2005)). The radiation may be of any wavelength, and includes, but is not limited to, wavelengths that do not harm ordinary cells, but which heat the nonproteinaceous moiety to a temperature at which cells proximal to the antibody-nonproteinaceous moiety are killed.

h. Tumor-Associated Antigens

Antibodies, including but not limited to cysteine engineered antibodies, which may be useful in the PACs described herein in the treatment of cancer include, but are not limited to, antibodies against cell surface receptors and tumor-associated antigens (TAA). Certain tumor-associated antigens are known in the art, and can be prepared for use in generating antibodies using methods and information which are well known in the art. In attempts to discover effective cellular targets for cancer diagnosis and therapy, researchers have sought to identify transmembrane or otherwise tumor-associated polypeptides that are specifically expressed on the surface of one or more particular type(s) of cancer cell as compared to on one or more normal non-cancerous cell(s). Often, such tumor-associated polypeptides are more abundantly expressed on the surface of the cancer cells as compared to on the surface of the non-cancerous cells. The identification of such tumor-associated cell surface antigen polypeptides has given rise to the ability to more specifically target cancer cells for destruction via antibody-based therapies.

Examples of tumor-associated antigens TAA include, but are not limited to, those listed below. For convenience, information relating to these antigens, all of which are known in the art, is listed below and includes names, alternative names, Genbank accession numbers and primary reference(s), following nucleic acid and protein sequence identification conventions of the National Center for Biotechnology Information (NCBI). Nucleic acid and protein sequences corresponding to TAA listed below are available in public databases such as GenBank. Tumor-associated antigens targeted by antibodies include all amino acid sequence variants and isoforms possessing at least about 70%, 80%, 85%, 90%, or 95% sequence identity relative to the sequences identified in the cited references, and/or which exhibit substantially the same biological properties or characteristics as a TAA having a sequence found in the cited references. For example, a TAA having a variant sequence generally is able to bind specifically to an antibody that binds specifically to the TAA with the corresponding sequence listed. The sequences and disclosure in the reference specifically recited herein are expressly incorporated by reference.

i. Recombinant Methods and Compositions

Antibodies may be produced using recombinant methods and compositions, e.g., as described in U.S. Pat. No. 4,816,567. In one embodiment, isolated nucleic acid encoding an antibody described herein is provided. Such nucleic acid may encode an amino acid sequence comprising the VL and/or an amino acid sequence comprising the VH of the antibody (e.g., the light and/or heavy chains of the antibody). In a further embodiment, one or more vectors (e.g., expression vectors) comprising such nucleic acid are provided. In a further embodiment, a host cell comprising such nucleic acid is provided. In one such embodiment, a host cell comprises (e.g., has been transformed with): (1) a vector comprising a nucleic acid that encodes an amino acid sequence comprising the VL of the antibody and an amino acid sequence comprising the VH of the antibody, or (2) a first vector comprising a nucleic acid that encodes an amino acid sequence comprising the VL of the antibody and a second vector comprising a nucleic acid that encodes an amino acid sequence comprising the VH of the antibody. In one embodiment, the host cell is eukaryotic, e.g. a Chinese Hamster Ovary (CHO) cell or lymphoid cell (e.g., Y0, NS0, Sp20 cell). In one embodiment, a method of making an antibody is provided, wherein the method comprises culturing a host cell comprising a nucleic acid encoding the antibody, as provided above, under conditions suitable for expression of the antibody, and optionally recovering the antibody from the host cell (or host cell culture medium).

For recombinant production of an antibody, nucleic acid encoding an antibody, e.g., as described above, is isolated and inserted into one or more vectors for further cloning and/or expression in a host cell. Such nucleic acid may be readily isolated and sequenced using conventional procedures (e.g., by using oligonucleotide probes that are capable of binding specifically to genes encoding the heavy and light chains of the antibody).

Suitable host cells for cloning or expression of antibody-encoding vectors include prokaryotic or eukaryotic cells described herein. For example, antibodies may be produced in bacteria, in particular when glycosylation and Fc effector function are not needed. For expression of antibody fragments and polypeptides in bacteria, see, e.g., U.S. Pat. Nos. 5,648,237, 5,789,199, and 5,840,523. (See also Charlton, Methods in Molecular Biology, Vol. 248 (B.K.C. Lo, ed., Humana Press, Totowa, N J, 2003), pp. 245-254, describing expression of antibody fragments in E. coli.) After expression, the antibody may be isolated from the bacterial cell paste in a soluble fraction and can be further purified.

In addition to prokaryotes, eukaryotic microbes such as filamentous fungi or yeast are suitable cloning or expression hosts for antibody-encoding vectors, including fungi and yeast strains whose glycosylation pathways have been “humanized,” resulting in the production of an antibody with a partially or fully human glycosylation pattern. See Gerngross, Nat. Biotech. 22:1409-1414 (2004), and Li et al., Nat. Biotech. 24:210-215 (2006).

Suitable host cells for the expression of glycosylated antibody are also derived from multicellular organisms (invertebrates and vertebrates). Examples of invertebrate cells include plant and insect cells. Numerous baculoviral strains have been identified which may be used in conjunction with insect cells, particularly for transfection of Spodoptera frugiperda cells.

Plant cell cultures can also be utilized as hosts. See, e.g., U.S. Pat. Nos. 5,959,177, 6,040,498, 6,420,548, 7,125,978, and 6,417,429 (describing PLANTIBODIES™ technology for producing antibodies in transgenic plants).

Vertebrate cells may also be used as hosts. For example, mammalian cell lines that are adapted to grow in suspension may be useful. Other examples of useful mammalian host cell lines are monkey kidney CV1 line transformed by SV40 (COS-7); human embryonic kidney line (293 or 293 cells as described, e.g., in Graham et al., J. Gen Virol. 36:59 (1977); baby hamster kidney cells (BHK); mouse sertoli cells (TM4 cells as described, e.g., in Mather, Biol. Reprod. 23:243-251 (1980); monkey kidney cells (CV1); African green monkey kidney cells (VERO-76); human cervical carcinoma cells (HELA); canine kidney cells (MDCK; buffalo rat liver cells (BRL 3A); human lung cells (W138); human liver cells (Hep G2); mouse mammary tumor (MMT 060562); TRI cells, as described, e.g., in Mather et al., Annals N. Y. Acad. Sci. 383:44-68 (1982); MRC 5 cells; and FS4 cells. Other useful mammalian host cell lines include Chinese hamster ovary (CHO) cells, including DHFR⁻ CHO cells (Urlaub et al., Proc. Natl. Acad. Sci. USA 77:4216 (1980)); and myeloma cell lines such as Y0, NS0 and Sp2/0. For a review of certain mammalian host cell lines suitable for antibody production, see, e.g., Yazaki and Wu, Methods in Molecular Biology, Vol. 248 (B.K.C. Lo, ed., Humana Press, Totowa, NJ), pp. 255-268 (2003).

Referring now to antibody affinity, in embodiments, the antibody binds to one or more tumor-associated antigens or cell-surface receptors selected from (1)-(53):

-   -   (1) BMPR1B (bone morphogenetic protein receptor-type IB, Genbank         accession no. NM_001203)     -    ten Dijke, P., et al Science 264 (5155):101-104 (1994),         Oncogene 14 (11):1377-1382 (1997)); WO2004063362 (Claim 2);         WO2003042661 (Claim 12); US2003134790-A1 (Page 38-39);         WO2002102235 (Claim 13; Page 296); WO2003055443 (Page 91-92);         WO200299122 (Example 2; Page 528-530); WO2003029421 (Claim 6);         WO2003024392 (Claim 2; FIG. 112); WO200298358 (Claim 1; Page         183); WO200254940 (Page 100-101); WO200259377 (Page 349-350);         WO200230268 (Claim 27; Page 376); WO200148204 (Example; FIG. 4)         NP_001194 bone morphogenetic protein receptor, type         IB/pid=NP_001194.1-     -   Cross-references: MIM:603248; NP_001194.1; AY065994     -   (2) E16 (LAT1, SLC7A5, Genbank accession no. NM_003486) Biochem.         Biophys. Res. Commun. 255 (2), 283-288 (1999), Nature 395         (6699):288-291 (1998), Gaugitsch, H. W., et al (1992) J. Biol.         Chem. 267 (16):11267-11273); WO2004048938 (Example 2);         WO2004032842 (Example IV); WO2003042661 (Claim 12); WO2003016475         (Claim 1); WO200278524 (Example 2); WO200299074 (Claim 19; Page         127-129); WO200286443 (Claim 27; Pages 222, 393); WO2003003906         (Claim 10; Page 293); WO200264798 (Claim 33; Page 93-95);         WO200014228 (Claim 5; Page 133-136); US2003224454 (FIG. 3 );         WO2003025138 (Claim 12; Page 150);     -   NP_003477 solute carrier family 7 (cationic amino acid         transporter, y+ system), member 5/pid=NP_003477.3—Homo sapiens     -   Cross-references: MIM:600182; NP_003477.3; NM_015923;         NM_003486_1     -   (3) STEAP1 (six transmembrane epithelial antigen of prostate,         Genbank accession no. NM_012449)     -   Cancer Res. 61 (15), 5857-5860 (2001), Hubert, R. S., et         al (1999) Proc. Natl. Acad. Sci. U.S.A. 96 (25):14523-14528);         WO2004065577 (Claim 6); WO2004027049 (FIG. 1L); EP1394274         (Example 11); WO2004016225 (Claim 2); WO2003042661 (Claim 12);         US2003157089 (Example 5); US2003185830 (Example 5); US2003064397         (FIG. 2); WO200289747 (Example 5; Page 618-619); WO2003022995         (Example 9; FIG. 13A, Example 53; Page 173, Example 2; FIG. 2A);     -   NP_036581 six transmembrane epithelial antigen of the prostate     -   Cross-references: MIM:604415; NP_036581.1; NM_012449_1     -   (4) 0772P (CA125, MUC16, Genbank accession no. AF361486)     -   J. Biol. Chem. 276 (29):27371-27375 (2001)); WO2004045553 (Claim         14); WO200292836 (Claim 6; FIG. 12); WO200283866 (Claim 15; Page         116-121); US2003124140 (Example 16); U.S. Pat. No. 798959.         Cross-references: GI:34501467; AAK74120.3; AF361486_1     -   (5) MPF (MPF, MSLN, SMR, megakaryocyte potentiating factor,         mesothelin, Genbank accession no. NM_005823) Yamaguchi, N., et         al Biol. Chem. 269 (2), 805-808 (1994), Proc. Natl. Acad. Sci.         U.S.A. 96 (20):11531-11536 (1999), Proc. Natl. Acad. Sci. U.S.A.         93 (1):136-140 (1996), J. Biol. Chem. 270 (37):21984-21990         (1995)); WO2003101283 (Claim 14); (WO2002102235 (Claim 13; Page         287-288); WO2002101075 (Claim 4; Page 308-309); WO200271928         (Page 320-321); WO9410312 (Page 52-57); Cross-references:         MIM:601051; NP_005814.2; NM_005823_1     -   (6) Napi2b (Napi3b, NAPI-3B, NPTIIb, SLC34A2, solute carrier         family 34 (sodium phosphate), member 2, type II sodium-dependent         phosphate transporter 3b, Genbank accession no. NM_006424)     -   J. Biol. Chem. 277 (22):19665-19672 (2002), Genomics 62         (2):281-284 (1999), Feild, J. A., et al (1999) Biochem. Biophys.         Res. Commun. 258 (3):578-582); WO2004022778 (Claim 2); EP1394274         (Example 11); WO2002102235 (Claim 13; Page 326); EP875569 (Claim         1; Page 17-19); WO200157188 (Claim 20; Page 329); WO2004032842         (Example IV); WO200175177 (Claim 24; Page 139-140);     -   Cross-references: MIM:604217; NP 006415.1; NM 006424 1     -   (7) Sema 5b (FLJ10372, KIAA1445, Mm.42015, SEMA5B, SEMAG,         Semaphorin 5b Hlog, sema domain, seven thrombospondin repeats         (type 1 and type 1-like), transmembrane domain™ and short         cytoplasmic domain, (semaphorin) 5B, Genbank accession no.         AB040878)     -   Nagase T., et al (2000) DNA Res. 7 (2):143-150); WO2004000997         (Claim 1); WO2003003984 (Claim 1); WO200206339 (Claim 1; Page         50); WO200188133 (Claim 1; Page 41-43, 48-58); WO2003054152         (Claim 20); WO2003101400 (Claim 11);     -   Accession: Q9P283; EMBL; AB040878; BAA95969.1. Genew;         HGNC:10737;     -   (8) PSCA hlg (2700050C12Rik, C530008016Rik, RIKEN cDNA         2700050C12, RIKEN cDNA 2700050C12 gene, Genbank accession no.         AY358628); Ross et al (2002) Cancer Res. 62:2546-2553;         US2003129192 (Claim 2); US2004044180 (Claim 12); US2004044179         (Claim 11); US2003096961 (Claim 11); US2003232056 (Example 5);         WO2003105758 (Claim 12); US2003206918 (Example 5); EP1347046         (Claim 1); WO2003025148 (Claim 20);     -   Cross-references: GI:37182378; AAQ88991.1; AY358628_1     -   (9) ETBR (Endothelin type B receptor, Genbank accession no.         AY275463);     -   Nakamuta M., et al Biochem. Biophys. Res. Commun. 177, 34-39,         1991; Ogawa Y., et al Biochem. Biophys. Res. Commun. 178,         248-255, 1991; Arai H., et al Jpn. Circ. J. 56, 1303-1307, 1992;         Arai H., et al J. Biol. Chem. 268, 3463-3470, 1993; Sakamoto A.,         Yanagisawa M., et al Biochem. Biophys. Res. Commun. 178,         656-663, 1991; Elshourbagy N. A., et al J. Biol. Chem. 268,         3873-3879, 1993; Haendler B., et al J. Cardiovasc. Pharmacol.         20, s1-S4, 1992; Tsutsumi M., et al Gene 228, 43-49, 1999;         Strausberg R. L., et al Proc. Natl. Acad. Sci. U.S.A. 99,         16899-16903, 2002; Bourgeois C., et al J. Clin. Endocrinol.         Metab. 82, 3116-3123, 1997; Okamoto Y., et al Biol. Chem. 272,         21589-21596, 1997; Verheij J. B., et al Am. J. Med. Genet. 108,         223-225, 2002; Hofstra R. M. W., et al Eur. J. Hum. Genet. 5,         180-185, 1997; Puffenberger E. G., et al Cell 79, 1257-1266,         1994; Attie T., et al, Hum. Mol. Genet. 4, 2407-2409, 1995;         Auricchio A., et al Hum. Mol. Genet. 5:351-354, 1996; Amiel J.,         et al Hum. Mol. Genet. 5, 355-357, 1996; Hofstra R. M. W., et al         Nat. Genet. 12, 445-447, 1996; Svensson P. J., et al Hum. Genet.         103, 145-148, 1998; Fuchs S., et al Mol. Med. 7, 115-124, 2001;         Pingault V., et al (2002) Hum. Genet. 111, 198-206; WO2004045516         (Claim 1); WO2004048938 (Example 2); WO2004040000 (Claim 151);         WO2003087768 (Claim 1); WO2003016475 (Claim 1); WO2003016475         (Claim 1); WO200261087 (FIG. 1); WO2003016494 (FIG. 6);         WO2003025138 (Claim 12; Page 144); WO200198351 (Claim 1; Page         124-125); EP522868 (Claim 8; FIG. 2); WO200177172 (Claim 1; Page         297-299); US2003109676; U.S. Pat. No. 6,518,404 (FIG. 3); U.S.         Pat. No. 5,773,223 (Claim 1a; Col 31-34); WO2004001004;     -   (10) MSG783 (RNF124, hypothetical protein FLJ20315, Genbank         accession no. NM_017763);     -   WO2003104275 (Claim 1); WO2004046342 (Example 2); WO2003042661         (Claim 12); WO2003083074 (Claim 14; Page 61); WO2003018621         (Claim 1); WO2003024392 (Claim 2; FIG. 93); WO200166689 (Example         6);     -   Cross-references: LocusID:54894; NP_060233.2; NM_017763_1     -   (11) STEAP2 (HGNC_8639, IPCA-1, PCANAP1, STAMP1, STEAP2, STMP,         prostate cancer associated gene 1, prostate cancer associated         protein 1, six transmembrane epithelial antigen of prostate 2,         six transmembrane prostate protein, Genbank accession no.         AF455138)     -   Lab. Invest. 82 (11):1573-1582 (2002)); WO2003087306;         US2003064397 (Claim 1; FIG. 1); WO200272596 (Claim 13; Page         54-55); WO200172962 (Claim 1; FIG. 4B); WO2003104270 (Claim 11);         WO2003104270 (Claim 16); US2004005598 (Claim 22); WO2003042661         (Claim 12); US2003060612 (Claim 12; FIG. 10); WO200226822 (Claim         23; FIG. 2); WO200216429 (Claim 12; FIG. 10);     -   Cross-references: GI:22655488; AAN04080.1; AF455138_1     -   (12) TrpM4 (BR22450, FLJ20041, TRPM4, TRPM4B, transient receptor         potential cation channel, subfamily M, member 4, Genbank         accession no. NM_017636)     -   Xu, X. Z., et al Proc. Natl. Acad. Sci. U.S.A. 98         (19):10692-10697 (2001), Cell 109 (3):397-407 (2002), J. Biol.         Chem. 278 (33):30813-30820 (2003)); US2003143557 (Claim 4);         WO200040614 (Claim 14; Page 100-103); WO200210382 (Claim 1; FIG.         9A); WO2003042661 (Claim 12); WO200230268 (Claim 27; Page 391);         US2003219806 (Claim 4); WO200162794 (Claim 14; FIG. 1A-D);     -   Cross-references: MIM:606936; NP_060106.2; NM_017636_1     -   (13) CRIPTO (CR, CR1, CRGF, CRIPTO, TDGF1,         teratocarcinoma-derived growth factor, Genbank accession no.         NP_003203 or NM_003212)     -   Ciccodicola, A., et al EMBO J. 8 (7):1987-1991 (1989), Am. J.         Hum. Genet. 49 (3):555-565 (1991)); US2003224411 (Claim 1);         WO2003083041 (Example 1); WO2003034984 (Claim 12); WO200288170         (Claim 2; Page 52-53); WO2003024392 (Claim 2; FIG. 58);         WO200216413 (Claim 1; Page 94-95, 105); WO200222808 (Claim 2;         FIG. 1); U.S. Pat. No. 5,854,399 (Example 2; Col 17-18); U.S.         Pat. No. 5,792,616 (FIG. 2);     -   Cross-references: MIM:187395; NP_003203.1; NM_003212_1 (14) CD21         (CR2 (Complement receptor 2) or C3DR (C3d/Epstein Barr virus         receptor) or Hs.73792 Genbank accession no. M26004)     -   Fujisaku et al (1989) J. Biol. Chem. 264 (4):2118-2125); Weis J.         J., et al J. Exp. Med. 167, 1047-1066, 1988; Moore M., et al         Proc. Natl. Acad. Sci. U.S.A. 84, 9194-9198, 1987; Barel M., et         al Mol. Immunol. 35, 1025-1031, 1998; Weis J. J., et al Proc.         Natl. Acad. Sci. U.S.A. 83, 5639-5643, 1986; Sinha S. K., et         al (1993) J. Immunol. 150, 5311-5320; WO2004045520 (Example 4);         US2004005538 (Example 1); WO2003062401 (Claim 9); WO2004045520         (Example 4); WO9102536 (FIGS. 9.1-9.9); WO2004020595 (Claim 1);     -   Accession: P20023; Q13866; Q14212; EMBL; M26004; AAA35786.1.     -   (15) CD79b (CD79B, CD79P, IGb (immunoglobulin-associated beta),         B29, Genbank accession no. NM_000626 or 11038674)     -   Proc. Natl. Acad. Sci. U.S.A. (2003) 100 (7):4126-4131,         Blood (2002) 100 (9):3068-3076, Muller et al (1992) Eur. J.         Immunol. 22 (6):1621-1625); WO2004016225 (claim 2, FIG. 140);         WO2003087768, US2004101874 (claim 1, page 102); WO2003062401         (claim 9); WO200278524 (Example 2); US2002150573 (claim 5, page         15); U.S. Pat. No. 5,644,033; WO2003048202 (claim 1, pages 306         and 309); WO 99/558658, U.S. Pat. No. 6,534,482 (claim 13, FIG.         17A/B); WO200055351 (claim 11, pages 1145-1146);     -   Cross-references: MIM:147245; NP_000617.1; NM_000626_1     -   (16) FcRH2 (IFGP4, IRTA4, SPAP1A (SH2 domain containing         phosphatase anchor protein 1a), SPAPIB, SPAPIC, Genbank         accession no. NM_030764, AY358130)     -   Genome Res. 13 (10):2265-2270 (2003), Immunogenetics 54         (2):87-95 (2002), Blood 99 (8):2662-2669 (2002), Proc. Natl.         Acad. Sci. U.S.A. 98 (17):9772-9777 (2001), Xu, M. J., et         al (2001) Biochem. Biophys. Res. Commun. 280 (3):768-775;         WO2004016225 (Claim 2); WO2003077836; WO200138490 (Claim 5; FIG.         18D-1-18D-2); WO2003097803 (Claim 12); WO2003089624 (Claim 25);     -   Cross-references: MIM:606509; NP_110391.2; NM_030764_1     -   (17) HER2 (ErbB2, Genbank accession no. M11730)     -   Coussens L., et al Science (1985) 230(4730):1132-1139); Yamamoto         T., et al Nature 319, 230-234, 1986; Semba K., et al Proc. Natl.         Acad. Sci. U.S.A. 82, 6497-6501, 1985; Swiercz J. M., et al J.         Cell Biol. 165, 869-880, 2004; Kuhns J. J., et al J. Biol. Chem.         274, 36422-36427, 1999; Cho H.-S., et al Nature 421, 756-760,         2003; Ehsani A., et al (1993) Genomics 15, 426-429; WO2004048938         (Example 2); WO2004027049 (FIG. 1I); WO2004009622; WO2003081210;         WO2003089904 (Claim 9); WO2003016475 (Claim 1); US2003118592;         WO2003008537 (Claim 1); WO2003055439 (Claim 29; FIG. 1A-B);         WO2003025228 (Claim 37; FIG. 5C); WO200222636 (Example 13; Page         95-107); WO200212341 (Claim 68; FIG. 7); WO200213847 (Page         71-74); WO200214503 (Page 114-117); WO200153463 (Claim 2; Page         41-46); WO200141787 (Page 15); WO200044899 (Claim 52; FIG. 7);         WO200020579 (Claim 3; FIG. 2 ); U.S. Pat. No. 5,869,445 (Claim         3; Col 31-38); WO9630514 (Claim 2; Page 56-61); EP1439393 (Claim         7); WO2004043361 (Claim 7); WO2004022709; WO200100244 (Example         3; FIG. 4 );     -   Accession: P04626; EMBL; M11767; AAA35808.1. EMBL; M11761;         AAA35808.1.     -   (18) NCA (CEACAM6, Genbank accession no. M18728);     -   Barnett T., et al Genomics 3, 59-66, 1988; Tawaragi Y., et al         Biochem. Biophys. Res. Commun. 150, 89-96, 1988; Strausberg R.         L., et al Proc. Natl. Acad. Sci. U.S.A. 99:16899-16903, 2002;         WO2004063709; EP1439393 (Claim 7); WO2004044178 (Example 4);         WO2004031238; WO2003042661 (Claim 12); WO200278524 (Example 2);         WO200286443 (Claim 27; Page 427); WO200260317 (Claim 2);     -   Accession: P40199; Q14920; EMBL; M29541; AAA59915.1. EMBL;         M18728; (19) MDP (DPEP1, Genbank accession no. BC017023)     -   Proc. Natl. Acad. Sci. U.S.A. 99 (26):16899-16903 (2002));         WO2003016475 (Claim 1); WO200264798 (Claim 33; Page 85-87);         JP05003790 (FIG. 6-8); WO9946284 (FIG. 9);     -   Cross-references: MIM:179780; AAH17023.1; BC017023_1     -   (20) IL20Ra (IL20Ra, ZCYTOR7, Genbank accession no. AF184971);     -   Clark H. F., et al Genome Res. 13, 2265-2270, 2003; Mungall A.         J., et al Nature 425, 805-811, 2003; Blumberg H., et al Cell         104, 9-19, 2001; Dumoutier L., et al J. Immunol. 167, 3545-3549,         2001; Parrish-Novak J., et al J. Biol. Chem. 277, 47517-47523,         2002; Pletnev S., et al (2003) Biochemistry 42:12617-12624;         Sheikh F., et al (2004) J. Immunol. 172, 2006-2010; EP1394274         (Example 11); US2004005320 (Example 5); WO2003029262 (Page         74-75); WO2003002717 (Claim 2; Page 63); WO200222153 (Page         45-47); US2002042366 (Page 20-21); WO200146261 (Page 57-59);         WO200146232 (Page 63-65); WO9837193 (Claim 1; Page 55-59);     -   Accession: Q9UHF4; Q6UWA9; Q96SH8; EMBL; AF184971; AAF01320.1.     -   (21) Brevican (BCAN, BEHAB, Genbank accession no. AF229053)     -   Gary S. C., et al Gene 256, 139-147, 2000; Clark H. F., et al         Genome Res. 13, 2265-2270, 2003; Strausberg R. L., et al Proc.         Natl. Acad. Sci. U.S.A. 99, 16899-16903, 2002; US2003186372         (Claim 11); US2003186373 (Claim 11); US2003119131 (Claim 1; FIG.         52); US2003119122 (Claim 1; FIG. 52); US2003119126 (Claim 1);         US2003119121 (Claim 1; FIG. 52); US2003119129 (Claim 1);         US2003119130 (Claim 1); US2003119128 (Claim 1; FIG. 52);         US2003119125 (Claim 1); WO2003016475 (Claim 1); WO200202634         (Claim 1);     -   (22) EphB2R (DRT, ERK, Hek5, EPHT3, Tyro5, Genbank accession no.         NM_004442) Chan, J. and Watt, V. M., Oncogene 6 (6),         1057-1061 (1991) Oncogene 10 (5):897-905 (1995), Annu. Rev.         Neurosci. 21:309-345 (1998), Int. Rev. Cytol. 196:177-244         (2000)); WO2003042661 (Claim 12); WO200053216 (Claim 1; Page         41); WO2004065576 (Claim 1); WO2004020583 (Claim 9);         WO2003004529 (Page 128-132); WO200053216 (Claim 1; Page 42);     -   Cross-references: MIM:600997; NP_004433.2; NM_004442_1 (23)         ASLG659 (B7h, Genbank accession no. AX092328)     -   US20040101899 (Claim 2); WO2003104399 (Claim 11); WO2004000221         (FIG. 3); US2003165504 (Claim 1); US2003124140 (Example 2);         US2003065143 (FIG. 60); WO2002102235 (Claim 13; Page 299);         US2003091580 (Example 2); WO200210187 (Claim 6; FIG. 10);         WO200194641 (Claim 12; FIG. 7b); WO200202624 (Claim 13; FIG.         1A-1B); US2002034749 (Claim 54; Page 45-46); WO200206317         (Example 2; Page 320-321, Claim 34; Page 321-322); WO200271928         (Page 468-469); WO200202587 (Example 1; FIG. 1); WO200140269         (Example 3; Pages 190-192); WO200036107 (Example 2; Page         205-207); WO2004053079 (Claim 12); WO2003004989 (Claim 1);         WO200271928 (Page 233-234, 452-453); WO 0116318;     -   (24) PSCA (Prostate stem cell antigen precursor, Genbank         accession no. AJ297436) Reiter R. E., et al Proc. Natl. Acad.         Sci. U.S.A. 95, 1735-1740, 1998; Gu Z., et al Oncogene 19,         1288-1296, 2000; Biochem. Biophys. Res. Commun. (2000)         275(3):783-788; WO2004022709; EP1394274 (Example 11);         US2004018553 (Claim 17); WO2003008537 (Claim 1); WO200281646         (Claim 1; Page 164); WO2003003906 (Claim 10; Page 288);         WO200140309 (Example 1; FIG. 17); US2001055751 (Example 1; FIG.         1b); WO200032752 (Claim 18; FIG. 1); WO9851805 (Claim 17; Page         97); WO9851824 (Claim 10; Page 94); WO9840403 (Claim 2; FIG.         1B);     -   Accession: 043653; EMBL; AF043498; AAC39607.1.     -   (25) GEDA (Genbank accession No. AY260763);     -   AAP14954 lipoma HMGIC fusion-partner-like         protein/pid=AAP14954.1—Homo sapiens Species: Homo sapiens         (human)     -   WO2003054152 (Claim 20); WO2003000842 (Claim 1); WO2003023013         (Example 3, Claim 20); US2003194704 (Claim 45);     -   Cross-references: GI:30102449; AAP14954.1; AY260763_1     -   (26) BAFF-R (B cell-activating factor receptor, BLyS receptor 3,         BR3, Genbank accession No. AF116456); BAFF         receptor/pid=NP_443177.1—Homo sapiens     -   Thompson, J. S., et al Science 293 (5537), 2108-2111 (2001);         WO2004058309; WO2004011611; WO2003045422 (Example; Page 32-33);         WO2003014294 (Claim 35; FIG. 6B); WO2003035846 (Claim 70; Page         615-616); WO200294852 (Col 136-137); WO200238766 (Claim 3; Page         133); WO200224909 (Example 3; FIG. 3);     -   Cross-references: MIM:606269; NP_443177.1; NM_052945_1; AF132600     -   (27) CD22 (B-cell receptor CD22-B isoform, BL-CAM, Lyb-8, Lyb8,         SIGLEC-2, FLJ22814, Genbank accession No. AK026467);     -   Wilson et al (1991) J. Exp. Med. 173:137-146; WO2003072036         (Claim 1; FIG. 1);     -   Cross-references: MIM:107266; NP_001762.1; NM_001771_1     -   (28) CD79a (CD79A, CD79a, immunoglobulin-associated alpha, a B         cell-specific protein that covalently interacts with Ig beta         (CD79B) and forms a complex on the surface with Ig M molecules,         transduces a signal involved in B-cell differentiation), pI:         4.84, MW: 25028 TM: 2 [P] Gene Chromosome: 19q13.2, Genbank         accession No. NP_001774.10) WO2003088808, US20030228319;         WO2003062401 (claim 9); US2002150573 (claim 4, pages 13-14);         WO9958658 (claim 13, FIG. 16); WO9207574 (FIG. 1); U.S. Pat. No.         5,644,033; Ha et al (1992) J. Immunol. 148(5):1526-1531; Mueller         et al (1992) Eur. J. Biochem. 22:1621-1625; Hashimoto et         al (1994) Immunogenetics 40(4):287-295; Preud'homme et al (1992)         Clin. Exp. Immunol. 90(1):141-146; Yu et al (1992) J. Immunol.         148(2) 633-637; Sakaguchi et al (1988) EMBO J. 7(11):3457-3464;     -   (29) CXCR5 (Burkitt's lymphoma receptor 1, a G protein-coupled         receptor that is activated by the CXCL13 chemokine, functions in         lymphocyte migration and humoral defense, plays a role in HIV-2         infection and perhaps development of AIDS, lymphoma, myeloma,         and leukemia); 372 aa, pI: 8.54 MW: 41959 TM: 7 [P] Gene         Chromosome: 1 q23.3, Genbank accession No. NP_001707.1)     -   WO2004040000; WO2004015426; US2003105292 (Example 2); U.S. Pat.         No. 6,555,339 (Example 2); WO200261087 (FIG. 1); WO200157188         (Claim 20, page 269); WO200172830 (pages 12-13); WO200022129         (Example 1, pages 152-153, Example 2, pages 254-256); WO9928468         (claim 1, page 38); U.S. Pat. No. 5,440,021 (Example 2, col         49-52); WO9428931 (pages 56-58); WO9217497 (claim 7, FIG. 5);         Dobner et al (1992) Eur. J. Immunol. 22:2795-2799; Barella et         al (1995) Biochem. J. 309:773-779;     -   (30) HLA-DOB (Beta subunit of MHC class II molecule (Ia antigen)         that binds peptides and presents them to CD4+T lymphocytes); 273         aa, pI: 6.56 MW: 30820 TM: 1 [P] Gene Chromosome: 6p21.3,         Genbank accession No. NP_002111.1)     -   Tonnelle et al (1985) EMBO J. 4(11):2839-2847; Jonsson et         al (1989) Immunogenetics 29(6):411-413; Beck et al (1992) J.         Mol. Biol. 228:433-441; Strausberg et al (2002) Proc. Natl.         Acad. Sci USA 99:16899-16903; Servenius et al (1987) J. Biol.         Chem. 262:8759-8766; Beck et al (1996) J. Mol. Biol. 255:1-13;         Naruse et al (2002) Tissue Antigens 59:512-519; WO9958658 (claim         13, FIG. 15); U.S. Pat. No. 6,153,408 (Col 35-38); U.S. Pat. No.         5,976,551 (col 168-170); U.S. Pat. No. 6,011,146 (col 145-146);         Kasahara et al (1989) Immunogenetics 30(1):66-68; Larhammar et         al (1985) J. Biol. Chem. 260(26):14111-14119;     -   (31) P2X5 (Purinergic receptor P2X ligand-gated ion channel 5,         an ion channel gated by extracellular ATP, may be involved in         synaptic transmission and neurogenesis, deficiency may         contribute to the pathophysiology of idiopathic detrusor         instability); 422 aa), pI: 7.63, MW: 47206 TM: 1 [P] Gene         Chromosome: 17p13.3, Genbank accession No. NP_002552.2) Le et         al (1997) FEBS Lett. 418(1-2):195-199; WO2004047749;         WO2003072035 (claim 10); Touchman et al (2000) Genome Res.         10:165-173; WO200222660 (claim 20); WO2003093444 (claim 1);         WO2003087768 (claim 1); WO2003029277 (page 82);     -   (32) CD72 (B-cell differentiation antigen CD72, Lyb-2) PROTEIN         SEQUENCE Full maeaity . . . tafrfpd (1 . . . 359; 359 aa), pI:         8.66, MW: 40225 TM: 1 [P] Gene Chromosome: 9p13.3, Genbank         accession No. NP_001773.1)     -   WO2004042346 (claim 65); WO2003026493 (pages 51-52, 57-58);         WO200075655 (pages 105-106); Von Hoegen et al (1990) J. Immunol.         144(12):4870-4877; Strausberg et al (2002) Proc. Natl. Acad. Sci         USA 99:16899-16903;     -   (33) LY64 (Lymphocyte antigen 64 (RP105), type I membrane         protein of the leucine rich repeat (LRR) family, regulates         B-cell activation and apoptosis, loss of function is associated         with increased disease activity in patients with systemic lupus         erythematosis); 661 aa, pI: 6.20, MW: 74147 TM: 1 [P] Gene         Chromosome: 5q12, Genbank accession No. NP_005573.1)     -   US2002193567; WO9707198 (claim 11, pages 39-42); Miura et         al (1996) Genomics 38(3):299-304; Miura et al (1998) Blood         92:2815-2822; WO2003083047; WO9744452 (claim 8, pages 57-61);         WO200012130 (pages 24-26);     -   (34) FcRH1 (Fc receptor-like protein 1, a putative receptor for         the immunoglobulin Fc domain that contains C2 type Ig-like and         ITAM domains, may have a role in B-lymphocyte differentiation);         429 aa, pI: 5.28, MW: 46925 TM: 1 [P] Gene Chromosome:         1q21-1q22, Genbank accession No. NP_443170.1)     -   WO2003077836; WO200138490 (claim 6, FIG. 18E-1-18-E-2); Davis et         al (2001) Proc. Natl. Acad. Sci USA 98(17):9772-9777;         WO2003089624 (claim 8); EP1347046 (claim 1); WO2003089624 (claim         7);     -   (35) FCRH5 (IRTA2, Immunoglobulin superfamily receptor         translocation associated 2, a putative immunoreceptor with         possible roles in B cell development and lymphomagenesis;         deregulation of the gene by translocation occurs in some B cell         malignancies); 977 aa, pI: 6.88 MW: 106468 TM: 1 [P] Gene         Chromosome: 1q21, Genbank accession No. Human:AF343662,         AF343663, AF343664, AF343665, AF369794, AF397453, AK090423,         AK090475, AL834187, AY358085; Mouse:AK089756, AY158090,         AY506558; NP_112571.1     -   WO2003024392 (claim 2, FIG. 97); Nakayama et al (2000) Biochem.         Biophys. Res. Commun. 277(1):124-127; WO2003077836; WO200138490         (claim 3, FIG. 18B-1-18B-2);     -   (36) TENB2 (TMEFF2, tomoregulin, TPEF, HPP1, TR, putative         transmembrane proteoglycan, related to the EGF/heregulin family         of growth factors and follistatin); 374 aa, NCBI Accession:         AAD55776, AAF91397, AAG49451, NCBI RefSeq: NP_057276; NCBI Gene:         23671; OMIM: 605734; SwissProt Q9UIK5; Genbank accession No.         AF179274; AY358907, CAF85723, CQ782436     -   WO2004074320 (SEQ ID NO 810); JP2004113151 (SEQ ID NOS 2, 4, 8);         WO2003042661 (SEQ ID NO 580); WO2003009814 (SEQ ID NO 411);         EP1295944 (pages 69-70); WO200230268 (page 329); WO200190304         (SEQ ID NO 2706); US2004249130; US2004022727; WO2004063355;         US2004197325; US2003232350; US2004005563; US2003124579; Horie et         al (2000) Genomics 67:146-152; Uchida et al (1999) Biochem.         Biophys. Res. Commun. 266:593-602; Liang et al (2000) Cancer         Res. 60:4907-12; Glynne-Jones et al (2001) Int J Cancer. October         15; 94(2):178-84;     -   (37) PMEL17 (silver homolog; SILV; D12S53E; PMEL17; SI; SIL);         ME20; gp100) BC001414; BT007202; M32295; M77348; NM_006928;         McGlinchey, R. P. et al (2009) Proc. Natl. Acad. Sci. U.S.A. 106         (33), 13731-13736; Kummer, M. P. et al (2009) J. Biol. Chem. 284         (4), 2296-2306;     -   (38) TMEFF1 (transmembrane protein with EGF-like and two         follistatin-like domains 1; Tomoregulin-1); H7365; C9orf2;         C90RF2; U19878; X83961; NM_080655; NM_003692;         Harms, P. W. (2003) Genes Dev. 17 (21), 2624-2629; Gery, S. et         al (2003) Oncogene 22 (18):2723-2727;     -   (39) GDNF-Ra1 (GDNF family receptor alpha 1; GFRA1; GDNFR;         GDNFRA; RETL1; TRNR1; RET1L; GDNFR-alpha1; GFR-ALPHA-1); U95847;         BC014962; NM_145793 NM_005264; Kim, M. H. et al (2009) Mol.         Cell. Biol. 29 (8), 2264-2277; Treanor, J. J. et al (1996)         Nature 382 (6586):80-83;     -   (40) Ly6E (lymphocyte antigen 6 complex, locus E; Ly67, RIG-E,         SCA-2, TSA-1); NP_002337.1; NM_002346.2; de Nooij-van         Dalen, A. G. et al (2003) Int. J. Cancer 103 (6), 768-774;         Zammit, D. J. et al (2002) Mol. Cell. Biol. 22 (3):946-952; WO         2013/17705;     -   (41) TMEM46 (shisa homolog 2 (Xenopus laevis); SHISA2);         NP_001007539.1; NM_001007538.1; Furushima, K. et al (2007) Dev.         Biol. 306 (2), 480-492; Clark, H. F. et al (2003) Genome Res. 13         (10):2265-2270;     -   (42) Ly6G6D (lymphocyte antigen 6 complex, locus G6D; Ly6-D,         MEGT1); NP_067079.2; NM_021246.2; Mallya, M. et al (2002)         Genomics 80 (1):113-123; Ribas, G. et al (1999) J. Immunol. 163         (1):278-287;     -   (43) LGR5 (leucine-rich repeat-containing G protein-coupled         receptor 5; GPR49, GPR67); NP_003658.1; NM_003667.2; Salanti, G.         et al (2009) Am. J. Epidemiol. 170 (5):537-545; Yamamoto, Y. et         al (2003) Hepatology 37 (3):528-533;     -   (44) RET (ret proto-oncogene; MEN2A; HSCR1; MEN2B; MTC1; PTC;         CDHF12; Hs.168114; RET51; RET-ELE1); NP_066124.1; NM_020975.4;         Tsukamoto, H. et al (2009) Cancer Sci. 100 (10):1895-1901;         Narita, N. et al (2009) Oncogene 28 (34):3058-3068;     -   (45) LY6K (lymphocyte antigen 6 complex, locus K; LY6K;         HSJ001348; FLJ35226); NP_059997.3; NM_017527.3; Ishikawa, N. et         al (2007) Cancer Res. 67 (24):11601-11611; de Nooij-van         Dalen, A. G. et al (2003) Int. J. Cancer 103 (6):768-774;     -   (46) GPR19 (G protein-coupled receptor 19; Mm.4787);         NP_006134.1; NM_006143.2; Montpetit, A. and Sinnett, D. (1999)         Hum. Genet. 105 (1-2):162-164; O'Dowd, B. F. et al (1996) FEBS         Lett. 394 (3):325-329;     -   (47) GPR54 (KISS1 receptor; KISS1R; GPR54; HOT7T175; AXOR12);         NP_115940.2; NM_032551.4; Navenot, J. M. et al (2009) Mol.         Pharmacol. 75 (6):1300-1306; Hata, K. et al (2009) Anticancer         Res. 29 (2):617-623;     -   (48) ASPHD1 (aspartate beta-hydroxylase domain containing 1;         LOC253982); NP_859069.2; NM_181718.3; Gerhard, D. S. et         al (2004) Genome Res. 14 (10B):2121-2127;     -   (49) Tyrosinase (TYR; OCAIA; OCA1A; tyrosinase; SHEP3);         NP_000363.1; NM_000372.4; Bishop, D. T. et al (2009) Nat. Genet.         41 (8):920-925; Nan, H. et al (2009) Int. J. Cancer 125         (4):909-917;     -   (50) TMEM118 (ring finger protein, transmembrane 2; RNFT2;         FLJ14627); NP_001103373.1; NM_001109903.1; Clark, H. F. et         al (2003) Genome Res. 13 (10):2265-2270; Scherer, S. E. et         al (2006) Nature 440 (7082):346-351     -   (51) GPR172A (G protein-coupled receptor 172A; GPCR41; FLJ11856;         D15Ertd747e); NP_078807.1; NM_024531.3; Ericsson, T. A. et         al (2003) Proc. Natl. Acad. Sci. U.S.A. 100 (11):6759-6764;         Takeda, S. et al (2002) FEBS Lett. 520 (1-3):97-101.     -   (52) CD33, a member of the sialic acid binding,         immunoglobulin-like lectin family, is a 67-kDa glycosylated         transmembrane protein. CD33 is expressed on most myeloid and         monocytic leukemia cells in addition to committed myelomonocytic         and erythroid progenitor cells. It is not seen on the earliest         pluripotent stem cells, mature granulocytes, lymphoid cells, or         nonhematopoietic cells (Sabbath et al., (1985) J. Clin. Invest.         75:756-56; Andrews et al., (1986) Blood 68:1030-5). CD33         contains two tyrosine residues on its cytoplasmic tail, each of         which is followed by hydrophobic residues similar to the         immunoreceptor tyrosine-based inhibitory motif (ITIM) seen in         many inhibitory receptors.     -   (53) CLL-1 (CLEC12A, MICL, and DCAL2), encodes a member of the         C-type lectin/C-type lectin-like domain (CTL/CTLD) superfamily.         Members of this family share a common protein fold and have         diverse functions, such as cell adhesion, cell-cell signalling,         glycoprotein turnover, and roles in inflammation and immune         response. The protein encoded by this gene is a negative         regulator of granulocyte and monocyte function. Several         alternatively spliced transcript variants of this gene have been         described, but the full-length nature of some of these variants         has not been determined. This gene is closely linked to other         CTL/CTLD superfamily members in the natural killer gene complex         region on chromosome 2p13 (Drickamer K (1999) Curr. Opin.         Struct. Biol. 9 (5):585-90; van Rhenen A, et al., (2007) Blood         110 (7):2659-66; Chen C H, et al. (2006) Blood 107 (4):1459-67;         Marshall A S, et al. (2006) Eur. J. Immunol. 36 (8):2159-69;         Bakker A B, et al (2005) Cancer Res. 64 (22):8443-50; Marshall A         S, et al (2004) J. Biol. Chem. 279 (15):14792-802). CLL-1 has         been shown to be a type II transmembrane receptor comprising a         single C-type lectin-like domain (which is not predicted to bind         either calcium or sugar), a stalk region, a transmembrane domain         and a short cytoplasmic tail containing an ITIM motif.

In an aspect, the antibody of the PAC may be an antibody that is directed to a protein that is found on numerous cells or tissue types. Examples of such antibodies include gD and EpCAM. In other words, a PAC can be used to deliver a PROTAC to many cells or tissues rather than specific cell types or tissue types as when using a using a targeted antibody.

As described herein, a PAC may comprise an antibody, e.g., an antibody selected from:

Anti-Lv6E Antibodies

In certain embodiments, a PAC can comprise anti-Ly6E antibodies. Lymphocyte antigen 6 complex, locus E (Ly6E), also known as retinoic acid induced gene E (RIG-E) and stem cell antigen 2 (SCA-2). It is a GPI linked, 131 amino acid length, ˜8.4 kDa protein of unknown function with no known binding partners. It was initially identified as a transcript expressed in immature thymocyte, thymic medullary epithelial cells in mice (Mao, et al. (1996) Proc. Natl. Acad. Sci. U.S.A. 93:5910-5914). In some embodiments, the subject matter described herein provides a PAC comprising an anti-Ly6E antibody described in PCT Publication No. WO 2013/177055.

In some embodiments, the subject matter described herein provides a PAC comprising an anti-Ly6E antibody comprising at least one, two, three, four, five, or six HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 12; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 13; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 14; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 9; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 10; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 11.

In one aspect, the subject matter described herein provides a PAC comprising an antibody that comprises at least one, at least two, or all three VH HVR sequences selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 12; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 13; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 14. In a further embodiment, the antibody comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 12; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 13; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 14.

In another aspect, the subject matter described herein provides a PAC comprising an antibody that comprises at least one, at least two, or all three VL HVR sequences selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 9; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 10; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 11. In one embodiment, the antibody comprises (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 9; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 10; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 11.

In another aspect, a PAC comprises an antibody comprising (a) a VH domain comprising at least one, at least two, or all three VH HVR sequences selected from (i) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 12, (ii) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 13, and (iii) HVR-H3 comprising an amino acid sequence selected from SEQ ID NO: 14; and (b) a VL domain comprising at least one, at least two, or all three VL HVR sequences selected from (i) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 9, (ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 10, and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 11.

In another aspect, the subject matter described herein provides a PAC comprising an antibody that comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 12; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 13; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 14; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 9; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 10; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 11.

In any of the above embodiments, an anti-Ly6E antibody of a PAC is humanized. In one embodiment, an anti-Ly6E antibody comprises HVRs as in any of the above embodiments, and further comprises a human acceptor framework, e.g. a human immunoglobulin framework or a human consensus framework.

In another aspect, an anti-Ly6E antibody of a PAC comprises a heavy chain variable domain (VH) sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 8. In certain embodiments, a VH sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO:8 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-Ly6E antibody comprising that sequence retains the ability to bind to Ly6E. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 8. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 8. In certain embodiments, substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-Ly6E antibody comprises the VH sequence of SEQ ID NO: 8, including post-translational modifications of that sequence. In a particular embodiment, the VH comprises one, two or three HVRs selected from: (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 12, (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 13, and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 14.

In another aspect, an anti-Ly6E antibody of a PAC is provided, wherein the antibody comprises a light chain variable domain (VL) having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 7. In certain embodiments, a VL sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO:7 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-Ly6E antibody comprising that sequence retains the ability to bind to Ly6E. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 7. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 7. In certain embodiments, the substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-Ly6E antibody comprises the VL sequence of SEQ ID NO: 7, including post-translational modifications of that sequence. In a particular embodiment, the VL comprises one, two or three HVRs selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 9; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 10; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 11.

In another aspect, a PAC comprising an anti-Ly6E antibody is provided, wherein the antibody comprises a VH as in any of the embodiments provided above, and a VL as in any of the embodiments provided above.

In one embodiment, a PAC is provided, wherein the antibody comprises the VH and VL sequences in SEQ ID NO: 8 and SEQ ID NO: 7, respectively, including post-translational modifications of those sequences.

In a further aspect, provided herein are PACs comprising antibodies that bind to the same epitope as an anti-Ly6E antibody provided herein. For example, in certain embodiments, a PAC is provided comprising an antibody that binds to the same epitope as an anti-Ly6E antibody comprising a VH sequence of SEQ ID NO: 8 and a VL sequence of SEQ ID NO: 7, respectively.

In a further aspect, an anti-Ly6E antibody of a PAC according to any of the above embodiments is a monoclonal antibody, including a human antibody. In one embodiment, an anti-Ly6E antibody of a PAC is an antibody fragment, e.g., a Fv, Fab, Fab′, scFv, diabody, or F(ab′)₂ fragment. In another embodiment, the antibody is a substantially full length antibody, e.g., an IgG1 antibody, IgG2a antibody or other antibody class or isotype as defined herein. In some embodiments, a PAC comprises an anti-Ly6E antibody comprising a heavy chain and a light chain comprising the amino acid sequences of SEQ ID NO: 16 and 15, respectively.

TABLE 4 Ly6E Antibody Sequences. SEQ ID NO Description Sequence  7 anti-Ly6E DIQMTQSPSS LSASVGDRVT ITCSASQGIS NYLNWYQQKP antibody GKTVKLLIYY TSNLHSGVPS RFSGSGSGTD YTLTISSLQP hu9B12 v12 EDFATYYCQQ YSELPWTFGQ GTKVEIK light chain variable region  8 anti-Ly6E EVQLVESGPA LVKPTQTLTL TCTVSGFSLT GYSVNWIRQPPGKAL antibody EWLGMIWGDG STDYNSALKS RLTISKDTSK NQVVLTMTNM hu9B12 v12 DPVDTATYYC ARDYYFNYAS WFAYWGQGTL VTVSS heavy chain variable region  9 anti-Ly6E SASQGISNYLN antibody hu9B12 v12 HVR-L1 10 anti-Ly6E YTSNLHS antibody hu9B12 v12 HVR-L2 11 anti-Ly6E QQYSELPWT antibody hu9B12 v12 HVR-L3 12 anti-Ly6E GFSLTGYSVN antibody hu9B12 v12 HVR-H1 13 anti-Ly6E MIWGDGSTDY NSALKS antibody hu9B12 v12 HVR-H2 14 anti-Ly6E DYYVNYASWFAY antibody hu9B12 v12 HVR-H3 15 anti-Ly6E DIQMTQSPSS LSASVGDRVT ITCSASQGIS NYLNWYQQKP antibody GKTVKLLIYY TSNLHSGVPS RFSGSGSGTD YTLTISSLQP hu9B12 v12 EDFATYYCQQ YSELPWTFGQ GTKVEIK RTVAAPSVFIF K149C kappa PPSDEQLKSG TASVVCLLNN FYPREAKVQW CVDNALQSGN light chain SQESVTEQDS KDSTYSLSST LTLSKADYEK HKVYACEVTH QGLSSPVTKS FNRGEC 16 anti-Ly6E EVQLVESGPA LVKPTQTLTL TCTVSGFSLT GYSVNWIRQP antibody PGKALEWLGM IWGDGSTDYN SALKSRLTIS KDTSKNQVVL hu9B12 v12 TMTNMDPVDT ATYYCARDYY FNYASWFAYW GQGTLVTVSS IgG1 heavy ASTKGPSVFP LAPSSKSTSG GTAALGCLVK DYFPEPVTVS chain WNSGALTSGV HTFPAVLQSS GLYSLSSVVT VPSSSLGTQT YICNVNHKPS NTKVDKKVEP KSCDKTHTCP PCPAPELLGG PSVFLFPPKP KDTLMISRTP EVTCVVVDVS HEDPEVKFNW YVDGVEVHNA KTKPREEQYN STYRVVSVLT VLHQDWLNGK EYKCKVSNKA LPAPIEKTIS KAKGQPREPQ VYTLPPSREE MTKNQVSLTC LVKGFYPSDI AVEWESNGQP ENNYKTTPPV LDSDGSFFLY SKLTVDKSRW QQGNVFSCSV MHEALHNHYT QKSLSLSPGK

Anti-HER2 Antibodies

In certain embodiments, PACs comprise anti-HER2 antibodies. In one embodiment, an anti-HER2 antibody of a PAC comprises a humanized anti-HER2 antibody, e.g., huMAb4D5-1, huMAb4D5-2, huMAb4D5-3, huMAb4D5-4, huMAb4D5-5, huMAb4D5-6, huMAb4D5-7 and huMAb4D5-8, as described in Table 3 of U.S. Pat. No. 5,821,337. Those antibodies contain human framework regions with the complementarity-determining regions of a murine antibody (4D5) that binds to HER2. The humanized antibody huMAb4D5-8 is also referred to as trastuzumab, commercially available under the tradename HERCEPTIN®. In another embodiment, an anti-HER2 antibody of a PAC comprises a humanized anti-HER2 antibody, e.g., humanized 2C4, as described in U.S. Pat. No. 7,862,817. An exemplary humanized 2C4 antibody is pertuzumab, commercially available under the tradename PERJETA®.

In another embodiment, an anti-HER2 antibody of a PAC comprises a humanized 7C2 anti-HER2 antibody. A humanized 7C2 antibody is an anti-HER2 antibody.

In some embodiments, described herein are PACs comprising an anti-HER2 antibody comprising at least one, two, three, four, five, or six HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23, 27, or 28; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24 or 29; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21. In some embodiments, described herein are PACs comprising an anti-HER2 antibody comprising at least one, two, three, four, five, or six HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21.

In one aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VH HVR sequences selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23, 27, or 28; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24 or 29. In one aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VH HVR sequences selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24. In a further embodiment, the antibody comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 68; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23, 27, or 28; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24 or 29. In a further embodiment, the antibody comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24.

In another aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VL HVR sequences selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21. In one embodiment, the antibody comprises (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21.

In another aspect, a PAC comprises an antibody comprising (a) a VH domain comprising at least one, at least two, or all three VH HVR sequences selected from (i) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22, (ii) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23, 27, or 28, and (iii) HVR-H3 comprising an amino acid sequence selected from SEQ ID NO: 24 or 29; and (b) a VL domain comprising at least one, at least two, or all three VL HVR sequences selected from (i) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19, (ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20, and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21. In another aspect, a PAC comprises an antibody comprising (a) a VH domain comprising at least one, at least two, or all three VH HVR sequences selected from (i) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22, (ii) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23, and (iii) HVR-H3 comprising an amino acid sequence selected from SEQ ID NO: 24; and (b) a VL domain comprising at least one, at least two, or all three VL HVR sequences selected from (i) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19, (ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20, and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21.

In another aspect, described herein are PACs comprising an antibody that comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23, 27, or 28; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24 or 29; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21. In another aspect, described herein are PACs comprising an antibody that comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21.

In any of the above embodiments, an anti-HER2 antibody of a PAC is humanized. In one embodiment, an anti-HER2 antibody of a PAC comprises HVRs as in any of the above embodiments, and further comprises a human acceptor framework, e.g. a human immunoglobulin framework or a human consensus framework.

In another aspect, an anti-HER2 antibody of a PAC comprises a heavy chain variable domain (VH) sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 18. In certain embodiments, a VH sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 18 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-HER2 antibody comprising that sequence retains the ability to bind to HER2. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 18. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 18. In certain embodiments, substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-HER2 antibody comprises the VH sequence of SEQ ID NO: 18, including post-translational modifications of that sequence. In a particular embodiment, the VH comprises one, two or three HVRs selected from: (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 22, (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 23, and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 24.

In another aspect, an anti-HER2 antibody of a PAC is provided, wherein the antibody comprises a light chain variable domain (VL) having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 17. In certain embodiments, a VL sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 17 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-HER2 antibody comprising that sequence retains the ability to bind to HER2. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 17. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 17. In certain embodiments, the substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-HER2 antibody comprises the VL sequence of SEQ ID NO: 17, including post-translational modifications of that sequence. In a particular embodiment, the VL comprises one, two or three HVRs selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 19; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 20; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 21.

In another aspect, a PAC comprising an anti-HER2 antibody is provided, wherein the antibody comprises a VH as in any of the embodiments provided above, and a VL as in any of the embodiments provided above.

In one embodiment, a PAC comprising an antibody is provided, wherein the antibody comprises the VH and VL sequences in SEQ ID NO: 18 and SEQ ID NO: 17, respectively, including post-translational modifications of those sequences.

In one embodiment, a PAC comprising an antibody is provided, wherein the antibody comprises the humanized 7C2.v2.2.LA (hu7C2) K149C kappa light chain sequence of SEQ ID NO: 30

In one embodiment, a PAC comprising an antibody is provided, wherein the antibody comprises the Hu7C2 A118C Ig heavy chain sequence of SEQ ID NO: 31

In a further aspect, provided herein are PACs comprising antibodies that bind to the same epitope as an anti-HER2 antibody provided herein. For example, in certain embodiments, a PAC is provided, comprising an antibody that binds to the same epitope as an anti-HER2 antibody comprising a VH sequence of SEQ ID NO: 18 and a VL sequence of SEQ ID NO: 17, respectively.

In a further aspect, an anti-HER2 antibody of a PAC according to any of the above embodiments is a monoclonal antibody, including a human antibody. In one embodiment, an anti-HER2 antibody of a PAC is an antibody fragment, e.g., a Fv, Fab, Fab′, scFv, diabody, or F(ab′)₂ fragment. In another embodiment, a PAC comprises an antibody that is a substantially full length antibody, e.g., an IgG11 antibody, IgG2a antibody or other antibody class or isotype as defined herein.

TABLE 5 Humanized 7C2 anti-HER2 antibody sequences. SEQ. ID NO. Description Sequence 17 Humanized DIVMTQSPDS LAVSLGERAT INCRASQSVS GSRFTYMHWY 7C2.v2.2.LA QQKPGQPPKL LIKYASILES GVPDRFSGSG SGTDFTLTIS (″hu7C2″) SLQAEDVAVY YCQHSWEIPP WTFGQGTKVE IK light chain variable region 18 Hu7C2 heavy EVQLVQSGAE VKKPGASVKV SCKASGYSFT GYWMNWVRQA chain variable PGQGLEWIGM IHPLDAEIRA NQKFRDRVTI TVDTSTSTAY region LELSSLRSED TAVYYCARGT YDGGFEYWGQ GTLVTVSS 19 Hu7C2 HVR- RASQSVSGSRFTYMH L1 20 Hu7C2 HVR- YASILES L2 21 Hu7C2 HVR- QHSWEIPPWT L3 22 Hu7C2 HVR- GYWMN H1 23 Hu7C2 HVR- MIHPLDAEIRANQKFRD H2 (Hu7C2. v2.1.S53L, S55A HVR- H2) 24 Hu7C2 HVR- GTYDGGFEY H3 25 Humanized DIVMTQSPDS LAVSLGERAT INCRASQSVS GSRFTYMHWY 7C2.v2.2.LA QQKPGQPPKL LIKYASILES GVPDRFSGSG SGTDFTLTIS (hu7C2) kappa SLQAEDVAVY YCQHSWEIPP WTFGQGTKVE IKRTVAAPSV light chain FIFPPSDEQL KSGTASVVCL LNNFYPREAK VQWKVDNALQ SGNSQESVTE QDSKDSTYSL SSTLTLSKAD YEKHKVYACE VTHQGLSSPV TKSFNRGEC 26 Hu7C2 IgG1 EVQLVQSGAE VKKPGASVKV SCKASGYSFT GYWMNWVRQA heavy chain PGQGLEWIGM IHPLDAEIRA NQKFRDRVTI TVDTSTSTAY LELSSLRSED TAVYYCARGT YDGGFEYWGQ GTLVTVSSAS TKGPSVFPLA PSSKSTSGGT AALGCLVKDY FPEPVTVSWN SGALTSGVHT FPAVLQSSGL YSLSSVVTVP SSSLGTQTYI CNVNHKPSNT KVDKKVEPKS CDKTHTCPPC PAPELLGGPS VFLFPPKPKD TLMISRTPEV TCVVVDVSHE DPEVKFNWYV DGVEVHNAKT KPREEQYNST YRVVSVLTVL HQDWLNGKEY KCKVSNKALP APIEKTISKA KGQPREPQVY TLPPSREEMT KNQVSLTCLV KGFYPSDIAV EWESNGQPEN NYKTTPPVLD SDGSFFLYSK LTVDKSRWQQ GNVFSCSVMH EALHNHYTQK SLSLSPGK 27 Hu7C2. MIHPMDSEIRANQKFRD v2.1.S53M HVR-H2 28 Hu7C2. MIHPLDSEIRANQKFRD v2.1.S53L HVR-H2 29 Hu7C2. GTYDGGFKY v2.1.E101K HVR-H3 30 Humanized DIVMTQSPDS LAVSLGERAT INCRASQSVS GSRFTYMHWY 7C2.v2.2.LA QQKPGQPPKL LIKYASILES GVPDRFSGSG SGTDFTLTIS (hu7C2) K149C SLQAEDVAVY YCQHSWEIPP WTFGQGTKVE IKRTVAAPSV kappa light FIFPPSDEQL KSGTASVVCL LNNFYPREAK VQWCVDNALQ chain SGNSQESVTE QDSKDSTYSL SSTLTLSKAD YEKHKVYACE VTHQGLSSPV TKSFNRGEC 31 Hu7C2 A118C EVQLVQSGAE VKKPGASVKV SCKASGYSFT GYWMNWVRQA IgG1 heavy PGQGLEWIGM IHPLDAEIRA NQKFRDRVTI TVDTSTSTAY chain LELSSLRSED TAVYYCARGT YDGGFEYWGQ GTLVTVSSCS TKGPSVFPLA PSSKSTSGGT AALGCLVKDY FPEPVTVSWN SGALTSGVHT FPAVLQSSGL YSLSSVVTVP SSSLGTQTYI CNVNHKPSNT KVDKKVEPKS CDKTHTCPPC PAPELLGGPS VFLFPPKPKD TLMISRTPEV TCVVVDVSHE DPEVKFNWYV DGVEVHNAKT KPREEQYNST YRVVSVLTVL HQDWLNGKEY KCKVSNKALP APIEKTISKA KGQPREPQVY TLPPSREEMT KNQVSLTCLV KGFYPSDIAV EWESNGQPEN NYKTTPPVLD SDGSFFLYSK LTVDKSRWQQ GNVFSCSVMH EALHNHYTQK SLSLSPGK 98 exemplary MELAALCRWG LLLALLPPGA ASTQVCTGTD MKLRLPASPE human HER2 THLDMLRHLY QGCQVVQGNL ELTYLPTNAS LSFLQDIQEV precursor QGYVLIAHNQ VRQVPLQRLR IVRGTQLFED NYALAVLDNG protein, with DPLNNTTPVT GASPGGLREL QLRSLTEILK GGVLIQRNPQ signal sequence LCYQDTILWK DIFHKNNQLA LTLIDTNRSR ACHPCSPMCK GSRCWGESSE DCQSLTRTVC AGGCARCKGP LPTDCCHEQC AAGCTGPKHS DCLACLHFNH SGICELHCPA LVTYNTDTFE SMPNPEGRYT FGASCVTACP YNYLSTDVGS CTLVCPLHNQ EVTAEDGTQR CEKCSKPCAR VCYGLGMEHL REVRAVTSAN IQEFAGCKKI FGSLAFLPES FDGDPASNTA PLQPEQLQVF ETLEEITGYL YISAWPDSLP DLSVFQNLQV IRGRILHNGA YSLTLQGLGI SWLGLRSLRE LGSGLALIHH NTHLCFVHTV PWDQLFRNPH QALLHTANRP EDECVGEGLA CHQLCARGHC WGPGPTQCVN CSQFLRGQEC VEECRVLQGL PREYVNARHC LPCHPECQPQ NGSVTCFGPE ADQCVACAHY KDPPFCVARC PSGVKPDLSY MPIWKFPDEE GACQPCPINC THSCVDLDDK GCPAEQRASP LTSIISAVVG ILLVVVLGVV FGILIKRRQQ KIRKYTMRRL LQETELVEPL TPSGAMPNQA QMRILKETEL RKVKVLGSGA FGTVYKGIWI PDGENVKIPV AIKVLRENTS PKANKEILDE AYVMAGVGSP YVSRLLGICL TSTVQLVTQL MPYGCLLDHV RENRGRLGSQ DLLNWCMQIA KGMSYLEDVR LVHRDLAARN VLVKSPNHVK ITDFGLARLL DIDETEYHAD GGKVPIKWMA LESILRRRFT HQSDVWSYGV TVWELMTFGA KPYDGIPARE IPDLLEKGER LPQPPICTID VYMIMVKCWM IDSECRPRFR ELVSEFSRMA RDPQRFVVIQ NEDLGPASPL DSTFYRSLLE DDDMGDLVDA EEYLVPQQGF FCPDPAPGAG GMVHHRHRSS STRSGGGDLT LGLEPSEEEA PRSPLAPSEG AGSDVFDGDL GMGAAKGLQS LPTHDPSPLQ RYSEDPTVPL PSETDGYVAP LTCSPQPEYV NQPDVRPQPP SPREGPLPAA RPAGATLERP KTLSPGKNGV VKDVFAFGGA VENPEYLTPQ GGAAPQPHPP PAFSPAFDNL YYWDQDPPER GAPPSTFKGT PTAENPEYLG LDVPV

Anti-MUC 16 Antibodies

In certain embodiments, PACs comprise anti-MUC 16 antibodies.

In some embodiments, described herein are PACs comprising an anti-MUC 16 antibody comprising at least one, two, three, four, five, or six HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 35; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 36; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 37; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 32; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 33 and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 34.

In one aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VH HVR sequences selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 35; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 36; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 37. In a further embodiment, the antibody comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 35; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 36; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 37.

In another aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VL HVR sequences selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 32; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 33; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 34. In one embodiment, the antibody comprises (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 32; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 33; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 34.

In another aspect, a PAC comprises an antibody comprising (a) a VH domain comprising at least one, at least two, or all three VH HVR sequences selected from (i) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 35, (ii) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 36, and (iii) HVR-H3 comprising an amino acid sequence selected from SEQ ID NO: 37; and (b) a VL domain comprising at least one, at least two, or all three VL HVR sequences selected from (i) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 32, (ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 33, and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 34.

In another aspect, described herein are PACs comprising an antibody that comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 35 (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 36; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 37; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 32; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 33; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 34.

In any of the above embodiments, an anti-MUC16 antibody of a PAC is humanized. In one embodiment, an anti-MUC16 antibody comprises HVRs as in any of the above embodiments, and further comprises a human acceptor framework, e.g. a human immunoglobulin framework or a human consensus framework.

In another aspect, an anti-MUC16 antibody of a PAC comprises a heavy chain variable domain (VH) sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 39. In certain embodiments, a VH sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 39 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-MUC16 antibody comprising that sequence retains the ability to bind to MUC16. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 39. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 39. In certain embodiments, substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-MUC16 antibody comprises the VH sequence of SEQ ID NO: 39, including post-translational modifications of that sequence. In a particular embodiment, the VH comprises one, two or three HVRs selected from: (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 35, (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 36, and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 37.

In another aspect, an anti-MUC16 antibody of a PAC is provided, wherein the antibody comprises a light chain variable domain (VL) having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 38. In certain embodiments, a VL sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO:38 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-MUC16 antibody comprising that sequence retains the ability to bind to MUC16. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 38. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 38. In certain embodiments, the substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-MUC16 antibody comprises the VL sequence of SEQ ID NO: 38, including post-translational modifications of that sequence. In a particular embodiment, the VL comprises one, two or three HVRs selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 32; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 33; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 34.

In another aspect, a PAC comprising an anti-MUC16 antibody is provided, wherein the antibody comprises a VH as in any of the embodiments provided above, and a VL as in any of the embodiments provided above.

In one embodiment, a PAC is provided, wherein the antibody comprises the VH and VL sequences in SEQ ID NO: 39 and SEQ ID NO: 38, respectively, including post-translational modifications of those sequences.

In a further aspect, provided herein are PACs comprising antibodies that bind to the same epitope as an anti-MUC 16 antibody provided herein. For example, in certain embodiments, a PAC is provided comprising an antibody that binds to the same epitope as an anti-MUC16 antibody comprising a VH sequence of SEQ ID NO: 39 and a VL sequence of SEQ ID NO: 38, respectively.

In a further aspect, an anti-MUC16 antibody of a PAC according to any of the above embodiments is a monoclonal antibody, including a human antibody. In one embodiment, an anti-MUC16 antibody of a PAC is an antibody fragment, e.g., a Fv, Fab, Fab′, scFv, diabody, or F(ab′)₂ fragment. In another embodiment, the antibody is a substantially full length antibody, e.g., an IgG1 antibody, IgG2a antibody or other antibody class or isotype as defined herein.

TABLE 6 MUC16 Antibody Sequences. SEQ ID NO: Description Sequence 32 Anti-Muc16 KASDLIHNWL A antibody HVR-L1 33 Anti-Muc16 YGATSLET antibody HVR-L2 34 Anti-Muc16 QQYWTTPFT antibody HVR-L3 35 Anti-Muc16 GYSITNDYAW N antibody HVR-H1 36 Anti-Muc16 GYISYSGYTT YNPSLKS antibody HVR-H2 37 Anti-Muc16 ARWASGLDY antibody HVR-H3 38 Anti-Muc16 DIQMTQSPSS LSASVGDRVT ITCKASDLIH antibody light NWLAWYQQKP GKAPKLLIYG ATSLETGVPS chain variable RFSGSGSGTD FTLTISSLQP EDFATYYCQQ region YWTTPFTFGQ GTKVEIKR 39 Anti-Muc16 EVQLVESGGG LVQPGGSLRL SCAASGYSIT antibody heavy NDYAWNWVRQ APGKGLEWVG YISYSGYTTY chain variable NPSLKSRFTI SRDTSKNTLY LQMNSLRAED region TAVYYCARWA SGLDYWGQGT LVTVSS

Anti-STEAP-1 Antibodies

In certain embodiments, PACs comprise anti-STEAP-1 antibodies.

In some embodiments, described herein are PACs comprising an anti-STEAP-1 antibody comprising at least one, two, three, four, five, or six HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 40; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 41; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 42; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 43; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 44 and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 45.

In one aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VH HVR sequences selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 40; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 41; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 42. In a further embodiment, the antibody comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 40; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 41; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 42.

In another aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VL HVR sequences selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 43; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 44; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 45. In one embodiment, the antibody comprises (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 43; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 44; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 45.

In another aspect, a PAC comprises an antibody comprising (a) a VH domain comprising at least one, at least two, or all three VH HVR sequences selected from (i) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 40, (ii) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 41, and (iii) HVR-H3 comprising an amino acid sequence selected from SEQ ID NO: 42; and (b) a VL domain comprising at least one, at least two, or all three VL HVR sequences selected from (i) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 43, (ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 44, and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 45.

In another aspect, described herein are PACs comprising an antibody that comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 40 (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 41; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 42; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 43; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 44; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 45.

In any of the above embodiments, an anti-STEAP-1 antibody of a PAC is humanized. In one embodiment, an anti-STEAP-1 antibody comprises HVRs as in any of the above embodiments, and further comprises a human acceptor framework, e.g. a human immunoglobulin framework or a human consensus framework.

In another aspect, an anti-STEAP-1 antibody of a PAC comprises a heavy chain variable domain (VH) sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 46. In certain embodiments, a VH sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 46 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-STEAP-1 antibody comprising that sequence retains the ability to bind to STEAP-1. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 46. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 46. In certain embodiments, substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-STEAP-1 antibody comprises the VH sequence of SEQ ID NO: 46, including post-translational modifications of that sequence. In a particular embodiment, the VH comprises one, two or three HVRs selected from: (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 40, (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 41, and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 42.

In another aspect, an anti-STEAP-1 antibody of an a PAC is provided, wherein the antibody comprises a light chain variable domain (VL) having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 47. In certain embodiments, a VL sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 47 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-STEAP-1 antibody comprising that sequence retains the ability to bind to STEAP-1. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 47 In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 47. In certain embodiments, the substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-STEAP-1 antibody comprises the VL sequence of SEQ ID NO: 47, including post-translational modifications of that sequence. In a particular embodiment, the VL comprises one, two or three HVRs selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 43; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 44; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 45.

In another aspect, a PAC comprising an anti-STEAP-1 antibody is provided, wherein the antibody comprises a VH as in any of the embodiments provided above, and a VL as in any of the embodiments provided above.

In one embodiment, a PAC is provided, wherein the antibody comprises the VH and VL sequences in SEQ ID NO: 46 and SEQ ID NO: 47, respectively, including post-translational modifications of those sequences.

In a further aspect, provided herein are PACs comprising antibodies that bind to the same epitope as an anti-STEAP-1 antibody provided herein. For example, in certain embodiments, a PAC is provided comprising an antibody that binds to the same epitope as an anti-STEAP-1 antibody comprising a VH sequence of SEQ ID NO: 46 and a VL sequence of SEQ ID NO: 47, respectively.

In a further aspect, an anti-STEAP-1 antibody of a PAC according to any of the above embodiments is a monoclonal antibody, including a human antibody. In one embodiment, an anti-STEAP-1 antibody of a PAC is an antibody fragment, e.g., a Fv, Fab, Fab′, scFv, diabody, or F(ab′)₂ fragment. In another embodiment, the antibody is a substantially full length antibody, e.g., an IgG1 antibody, IgG2a antibody or other antibody class or isotype as defined herein.

TABLE 7 STEAP Antibody Sequences. SEQ ID NO: Description Sequence 40 Anti-STEAP-1 GYSITSDYAW N HVR-H1 41 Anti-STEAP-1 GYISNSGSTS YNPSLKS HVR-H2 42 Anti-STEAP-1 ERNYDYDDYY YAMDY HVR-H3 43 Anti-STEAP-1 KSSQSLLYRS NQKNYLA HVR-L1 44 Anti-STEAP-1 WASTRES HVR-L2 45 Anti-STEAP-1 QQYYNYPRT HYR-L3 46 Anti-STEAP1 EVQLVESGGG LVQPGGSLRL SCAVSGYSIT heavy chain SDYAWNWVRQ APGKGLEWVG YISNSGSTSY variable region NPSLKSRFTI SRDTSKNTLY LQMNSLRAED TAVYYCARER NYDYDDYYYA MDYWGQGTLV TVSS 47 Anti-STEAP1 DIQMTQSPSS LSASVGDRVT ITCKSSQSLL light chain YRSNQKNYLA WYQQKPGKAP KLLIYWASTR variable region ESGVPSRFSG SGSGTDFTLT ISSLQPEDFA TYYCQQYYNY PRTFGQGTKV EIK

Anti-NaPi2b Antibodies

In certain embodiments, a PAC comprises anti-NaPi2b antibodies.

In some embodiments, described herein are PACs comprising an anti-NaPi2b antibody comprising at least one, two, three, four, five, or six HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 48; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 49; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 50; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 51; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 52 and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 53.

In one aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VH HVR sequences selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 48; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 49; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 50. In a further embodiment, the antibody comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 48; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 49; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 50.

In another aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VL HVR sequences selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 51; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 52; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 53. In one embodiment, the antibody comprises (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 51; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 52; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 53.

In another aspect, a PAC comprises an antibody comprising (a) a VH domain comprising at least one, at least two, or all three VH HVR sequences selected from (i) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 48, (ii) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 49, and (iii) HVR-H3 comprising an amino acid sequence selected from SEQ ID NO: 50; and (b) a VL domain comprising at least one, at least two, or all three VL HVR sequences selected from (i) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 51, (ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 52, and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 53.

In another aspect, described herein are PACs comprising an antibody that comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 48 (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 49; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 50; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 51; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 52; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 53.

In any of the above embodiments, an anti-NaPi2b antibody of a PAC is humanized. In one embodiment, an anti-NaPi2b antibody comprises HVRs as in any of the above embodiments, and further comprises a human acceptor framework, e.g. a human immunoglobulin framework or a human consensus framework.

In another aspect, an anti-NaPi2b antibody of a PAC comprises a heavy chain variable domain (VH) sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 54. In certain embodiments, a VH sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 54 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-NaPi2b antibody comprising that sequence retains the ability to bind to NaPi2b. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 54. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 54. In certain embodiments, substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-NaPi2b antibody comprises the VH sequence of SEQ ID NO: 54, including post-translational modifications of that sequence. In a particular embodiment, the VH comprises one, two or three HVRs selected from: (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 48, (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 49, and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 50.

In another aspect, an anti-NaPi2b antibody of a PAC is provided, wherein the antibody comprises a light chain variable domain (VL) having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 55. In certain embodiments, a VL sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 55 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-NaPi2b antibody comprising that sequence retains the ability to bind to anti-NaPi2b. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 55. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 55. In certain embodiments, the substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-NaPi2b antibody comprises the VL sequence of SEQ ID NO: 55, including post-translational modifications of that sequence. In a particular embodiment, the VL comprises one, two or three HVRs selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 51; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 52; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 53.

In another aspect, a PAC comprising an anti-NaPi2b antibody is provided, wherein the antibody comprises a VH as in any of the embodiments provided above, and a VL as in any of the embodiments provided above.

In one embodiment, a PAC is provided, wherein the antibody comprises the VH and VL sequences in SEQ ID NO: 54 and SEQ ID NO: 55, respectively, including post-translational modifications of those sequences.

In a further aspect, provided herein are PACs comprising antibodies that bind to the same epitope as an anti-NaPi2b antibody provided herein. For example, in certain embodiments, a PAC is provided comprising an antibody that binds to the same epitope as an anti-NaPi2b antibody comprising a VH sequence of SEQ ID NO: 54 and a VL sequence of SEQ ID NO: 55, respectively.

In a further aspect, an anti-NaPi2b antibody of a PAC according to any of the above embodiments is a monoclonal antibody, including a human antibody. In one embodiment, an anti-NaPi2b antibody of a PAC is an antibody fragment, e.g., a Fv, Fab, Fab′, scFv, diabody, or F(ab′)₂ fragment. In another embodiment, the antibody is a substantially full length antibody, e.g., an IgG1 antibody, IgG2a antibody or other antibody class or isotype as defined herein.

TABLE 8 NaPi2b Antibody Sequences. SEQ ID NO: Description Sequence 48 Anti-NaPi2b GFSFSDFAMS HVR-H1 10H1.11.4B 49 Anti-NaPi2b ATIGRVAFHTYYPDSMKG HVR-H2 10H1.11.4B 50 Anti-NaPi2b ARHRGFDVGHFDF HVR-H3 10H1.11.4B 51 Anti-NaPi2b RSSETLVHSSGNTYLE HVR-L1 10H1.11.4B 52 Anti-NaPi2b RVSNRFS HVR-L2 53 Anti-NaPi2b FQGSFNPLT HVR-L3 10H1.11.4B 54 Anti-NaPi2b EVQLVESGGGLVQPGGSLRLSCAASGFSFSDFAMSWVRQAP heavy chain GKGLEWVATIGRVAFHTYYPDSMKGRFTISRDNSKNTLYLQ variable region MNSLRAEDTAVYYCARHRGFDVGHFDFWGQGTLVTVSS 10H1.11.4B V_(H) 55 Anti-NaPi2b DIQMTQSPSSLSASVGDRVTITCRSSETLVHSSGNTYLEWY light chain QQKPGKAPKLLIYRVSNRFSGVPSRFSGSGSGTDFTLTISS variable region LQPEDFATYYCFQGSFNPLTFGQGTKVEIKR 10H1.11.4B V_(L) 64 10H1.11.4B DIQMTQSPSSLSASVGDRVTITCRSSETLVHSSGNTYLEWY Light Chain QQKPGKAPKLLIYRVSNRFSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCFQGSFNPLTFGQGTKVEIKRTVAAPSVFIF PPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNS QESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQG LSSPVTKSFNRGEC 65 10H1.11.4B EVQLVESGGGLVQPGGSLRLSCAASGFSFSDFAMSWVRQAP Heavy Chain GKGLEWVATIGRVAFHTYYPDSMKGRFTISRDNSKNTLYLQ MNSLRAEDTAVYYCARHRGFDVGHFDFWGQGTLVTVSSCST KGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSG ALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNV NHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLF PPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEV HNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSN KALPAPIEKTISKAKGQPREPQVYTLPPSREEMTKNQVSLT CLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLY SKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK

Anti-CD79b Antibodies

In certain embodiments, PACs comprise anti-CD79b antibodies.

In some embodiments, described herein are PACs comprising an anti-CD79b antibody comprising at least one, two, three, four, five, or six HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 58; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 59; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 60; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 61; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 62; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 63.

In one aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VH HVR sequences selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 58; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 59; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 60. In a further embodiment, the antibody comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 58; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 59; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 60.

In another aspect, described herein are PACs comprising an antibody that comprises at least one, at least two, or all three VL HVR sequences selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 61; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 62; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 63. In one embodiment, the antibody comprises (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 61; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 62; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 63.

In another aspect, a PAC comprises an antibody comprising (a) a VH domain comprising at least one, at least two, or all three VH HVR sequences selected from (i) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 58, (ii) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 59, and (iii) HVR-H3 comprising an amino acid sequence selected from SEQ ID NO: 60; and (b) a VL domain comprising at least one, at least two, or all three VL HVR sequences selected from (i) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 61, (ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 62, and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 63.

In another aspect, described herein are PACs comprising an antibody that comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 58; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 59; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 60; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 61; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 62; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 63.

In any of the above embodiments, an anti-CD79b antibody of a PAC is humanized. In one embodiment, an anti-CD79b antibody comprises HVRs as in any of the above embodiments, and further comprises a human acceptor framework, e.g. a human immunoglobulin framework or a human consensus framework.

In another aspect, an anti-CD79b antibody of a PAC comprises a heavy chain variable domain (VH) sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 56. In certain embodiments, a VH sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 56 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-CD79b antibody comprising that sequence retains the ability to bind to CD79b. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 56. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 56. In certain embodiments, substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-CD79b antibody comprises the VH sequence of SEQ ID NO: 8, including post-translational modifications of that sequence. In a particular embodiment, the VH comprises one, two or three HVRs selected from: (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 58, (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 59, and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 60.

In another aspect, an anti-CD79b antibody of a PAC is provided, wherein the antibody comprises a light chain variable domain (VL) having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 57. In certain embodiments, a VL sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 57 contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-Ly6E antibody comprising that sequence retains the ability to bind to CD79b. In certain embodiments, a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 57. In certain embodiments, a total of 1 to 5 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 57. In certain embodiments, the substitutions, insertions, or deletions occur in regions outside the HVRs (i.e., in the FRs). Optionally, the anti-CD79b antibody comprises the VL sequence of SEQ ID NO: 57, including post-translational modifications of that sequence. In a particular embodiment, the VL comprises one, two or three HVRs selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 61; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 62; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 63.

In another aspect, described herein are PACs comprising an anti-CD79b antibody is provided, wherein the antibody comprises a VH as in any of the embodiments provided above, and a VL as in any of the embodiments provided above.

In one embodiment, a PAC is provided, wherein the antibody comprises the VH and VL sequences in SEQ ID NO: 56 and SEQ ID NO: 57, respectively, including post-translational modifications of those sequences.

In a further aspect, provided herein are PACs comprising antibodies that bind to the same epitope as an anti-CD79b antibody provided herein. For example, in certain embodiments, a PAC is provided comprising an antibody that binds to the same epitope as an anti-CD79b antibody comprising a VH sequence of SEQ ID NO: 56 and a VL sequence of SEQ ID NO: 57, respectively.

In a further aspect, an anti-CD79b antibody of a PAC according to any of the above embodiments is a monoclonal antibody, including a human antibody. In one embodiment, an anti-CD79b antibody of a PAC is an antibody fragment, e.g., a Fv, Fab, Fab′, scFv, diabody, or F(ab′)₂ fragment. In another embodiment, the antibody is a substantially full length antibody, e.g., an IgG1 antibody, IgG2a antibody or other antibody class or isotype as defined herein.

TABLE 9 CD79b Antibody Sequences. SEQ ID NO: Description Sequence 56 anti-CD79b EVQLVESGGG LVQPGGSLRL SCAASGYTFS huMA79bv28 SYWIEWVRQA PGKGLEWIGE ILPGGGDTNY heavy chain NEIFKGRATF SADTSKNTAY LQMNSLRAED variable region TAVYYCTRRV PIRLDYWGQG TLVTVSS 57 anti-CD79b DIQLTQSPSS LSASVGDRVT ITCKASQSVD huMA79bv28 YEGDSFLNWY QQKPGKAPKL LIYAASNLES light chain GVPSRFSGSG SGTDFTLTIS SLQPEDFATY variable region YCQQSNEDPL TFGQGTKVEI KR 58 anti-CD79b GYTFSSYWIE huMA79bv28 HVR H1 59 anti-CD79b GEILPGGGDTNYNEIFKG huMA79bv28 HVR H2 60 anti-CD79b TRRVPIRLDY huMA79bv28 HVR H3 61 anti-CD79b KASQSVDYEGDSFLN huMA79bv28 HVR L1 62 anti-CD79b AASNLES huMA79bv28 HVR L2 63 anti-CD79b QQSNEDPLT huMA79bv28 HVR L3

Anti-CD22 Antibodies

In certain embodiments, a PAC can comprise anti-CD22 antibodies, which comprise three light chain hypervariable regions (HVR-L1, HVR-L2 and HVR-L3) and three heavy chain hypervariable regions (HVR-H2, HVR-H2 and HVR-H3). In one embodiment, the anti-CD22 antibody of a PAC comprises three light chain hypervariable regions and three heavy chain hypervariable regions (SEQ ID NO: 66-71), the sequences of which are shown below. In one embodiment, the anti-CD22 antibody of a PAC comprises the variable light chain sequence of SEQ ID NO: 72 and the variable heavy chain sequence of SEQ ID NO: 73. In one embodiment, the anti-CD22 antibody of PACs of the present invention comprises the light chain sequence of SEQ ID NO: 74 and the heavy chain sequence of SEQ ID NO: 75:

TABLE 10 Anti-CD22 Antibodies. h10F4.V3.K149C RSSQSIVHSVGNTFLE Seq ID HVR-L1 No: 66 h10F4.V3.K149C KVSNRFS Seq ID HVR-L2 No: 67 h10F4.V3.K149C FQGSQFPYT Seq ID HVR-L3 No: 68 h10F4.V3.K149C GYEFSRSWMN Seq ID HVR-H1 No: 69 h10F4.V3.K149C RIYPGDGDTNYSGKFKG Seq ID HVR-H2 No: 70 h10F4.V3.K149C DGSSWDWYFDV Seq ID HVR-H3 No: 71 h10F4.V3.K149C DIQMTQSPSSLSASVGDRVTITCRSSQSIVHSVGNTFLEWYQQK SEQ ID V_(L) PGKAPKLLIYKVSNRFSGVPSRFSGSGSGTDFTLTISSLQPEDF NO: 72 ATYYCFQGSQFPYTFGQGTKVEIKR h10F4.V3.K149C EVQLVESGGGLVQPGGSLRLSCAASGYEFSRSWMNWVRQAPGKG SEQ ID V_(H) LEWVGRIYPGDGDTNYSGKFKGRFTISADTSKNTAYLQMNSLRA NO: 73 EDTAVYYCARDGSSWDWYFDVWGQGTLVTVSS h10F4.V3.K149C DIQMTQSPSSLSASVGDRVTITCRSSQSIVHSVGNTFLEWYQQK SEQ ID Light Chain P NO: 74 GKAPKLLIYKVSNRFSGVPSRFSGSGSGTDFTLTISSLQPEDFA TYYCFQGSQFPYTFGQGTKVEIKRTVAAPSVFIFPPSDEQLKSG TASVVCLLNNFYPREAKVQWCVDNALQSGNSQESVTEQDSKDST YSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC h10F4.V3.K149C EVQLVESGGGLVQPGGSLRLSCAASGYEFSRSWMNWVRQAPGKG SEQ ID Heavy Chain LEWVGRIYPGDGDTNYSGKFKGRFTISADTSKNTAYLQMNSLRA NO: 75 EDTAVYYCARDGSSWDWYFDVWGQGTLVTVSSASTKGPSVFPLA PSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAV LQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEP KSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTC VVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSV LTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVY TLPPSREEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKT TPPVLDSDGSFFLYSKLTVDKSRW QQGNVFSCSVMHEALHNHYTQKSLSLSPGK

Anti-CD33 Antibodies

In certain embodiments, a PAC can comprise anti-CD33 antibodies, which comprise three light chain hypervariable regions and three heavy chain hypervariable regions, the sequences (SEQ ID NO:76-81) of which are shown below. In one embodiment, the anti-CD33 antibody of a PAC comprises the variable light chain sequence of SEQ ID NO: 82 and the variable heavy chain sequence of SEQ ID NO: 83.

TABLE 11 15G15.33- RSSQSLLHSNGYNYLD SEQ ID HVR L1 NO: 76 15G15.33- LGVNSVS SEQ ID HVR L2 NO: 77 15G15.33- MQALQTPWT SEQ ID HVR L3 NO: 78 15G15.33- NHAIS SEQ ID HVR H1 NO: 79 15G15.33- GIIPIFGTANYAQKFQG SEQ ID HVR H2 NO: 80 15G15.33- EWADVFDI SEQ ID HVR H3 NO: 81 15G15.33 EIVLTQSPLSLPVTPGEPASISCRSSQSLLHSNGYNYLDWYLQKPGQS SEQ ID V_(L) PQLLIYLGVNSVSGVPDRFSGSGSGTDFTLKISRVEAEDVGVYYCMQA NO: 82 LQTPWTFGQGTKVEIK 15G15.33 QVQLVQSGAEVKKPGSSVKVSCKASGGIFSNHAISWVRQAPGQGLEWM SEQ ID V_(H) GGIIPIFGTANYAQKFQGRVTITADESTSTAFMELSSLRSEDTAVYYC NO: 83 AREWADVFDIWGQGTMVIVSS

In one embodiment, the anti-CD33 antibody of a PAC comprises the light chain sequence of SEQ ID NO: 84 and the heavy chain sequence of SEQ ID NO: 85. In one embodiment, the anti-CD33 antibody of a PAC comprises three light chain hypervariable regions and three heavy chain hypervariable regions, the sequences (Seq ID NO: 84-89) of which are shown below. In one embodiment, the anti-CD33 antibody of a PAC comprises the variable light chain sequence of SEQ ID NO: 90 and the variable heavy chain sequence of SEQ ID NO: 91. In one embodiment, the anti-CD33 antibody of PAC comprises the variable light chain sequence of SEQ ID NO: 92 and the variable heavy chain sequence of SEQ ID NO: 93. In one embodiment, the anti-CD33 antibody of the present invention comprises the variable light chain sequence of SEQ ID NO: 94 and the variable heavy chain sequence of SEQ ID NO: 95. In one embodiment, the anti-CD33 antibody of the present invention comprises the variable light chain sequence of SEQ ID NO: 96 and the variable heavy chain sequence of SEQ ID NO: 97.

TABLE 12 9C3-HVR RASQGIRNDLG Seq ID NO: 84 L1 9C3-HVR AASSLQS Seq ID NO: 85 L2 9C3-HVR LQHNSYPWT Seq ID NO: 86 L3 9C3-HVR GNYMS Seq ID NO: 87 H1 9C3-HVR LIYSGDSTYYADSVKG Seq ID NO: 88 H2 9C3-HVR DGYYVSDMVV Seq ID NO: 89 H3 9C3 V_(L) DIQMTQSPSSLSASVGDRVTITCRASQGIRNDLGWYQQKP Seq ID NO: 90 GKAPKRLIYAASSLQSGVPSRFSGSGSGTEFTLTISSLQP EDFATYYCLQHNSYPWTFGQGTKLEIK 9C3 V_(H) EVQLVESGGALIQPGGSLRLSCVASGFTISGNYMSWVRQA Seq ID NO: 91 PGKGLEWVSLIYSGDSTYYADSVKGRFNISRDISKNTVYL QMNSLRVEDTAVYYCVRDGYYVSDMVVWGKGTTVTVSS 9C3.2 V_(L) DIQMTQSPSSLSASVGDRVTITCRASQGIRNDLGWYQQKP Seq ID NO: 92 GKAPKRLIYAASSLQSGVPSRFSGSGSGTEFTLTISSLQP EDFATYYCLQHNSYPWTFGQGTKLEIK 9C3.2 V_(H) EVQLVESGGALIQPGGSLRLSCVASGFTISGNYMSWVRQA Seq ID NO: 93 PGKGLEWVSLIYSGDSTYYADSVKGRFTISRDISKNTVYL QMNSLRVEDTAVYYCVRDGYYVSDMVVWGKGTTVTVSS 9C3.3 V_(L) DIQMTQSPSSLSASVGDRVTITCRASQGIRNDLGWYQQKP Seq ID NO: 94 GKAPKRLIYAASSLQSGVPSRFSGSGSGTEFTLTISSLQP EDFATYYCLQHNSYPWTFGQGTKLEIK 9C3.3 V_(H) EVQLVESGGALIQPGGSLRLSCVASGFTISGNYMSWVRQA Seq ID NO: 95 PGKGLEWVSLIYSGDSTYYADSVKGRFSISRDISKNTVYL QMNSLRVEDTAVYYCVRDGYYVSDMVVWGKGTTVTVSS 9C3.4 V_(L) DIQMTQSPSSLSASVGDRVTITCRASQGIRNDLGWYQQKP Seq ID NO: 96 GKAPKRLIYAASSLQSGVPSRFSGSGSGTEFTLTISSLQP EDFATYYCLQHNSYPWTFGQGTKLEIK 9C3.4 V_(H) EVQLVESGGALIQPGGSLRLSCVASGFTISGNYMSWVRQA Seq ID NO: 97 PGKGLEWVSLIYSGDSTYYADSVKGRFAISRDISKNTVYL QMNSLRVEDTAVYYCVRDGYYVSDMVVWGKGTTVTVSS

Antibody Affinity

In certain embodiments, an antibody provided herein has a dissociation constant (Kd) of ≤1 μM, ≤100 nM, ≤50 nM, ≤10 nM, ≤5 nM, ≤1 nM, ≤0.1 nM, ≤0.01 nM, or ≤0.001 nM, and optionally is ≥10⁻¹³ M. (e.g. 10⁻⁸ M or less, e.g. from 10⁻⁸ M to 10⁻¹³ M, e.g., from 10⁻⁹ M to 10⁻¹³ M).

In one embodiment, Kd is measured by a radiolabeled antigen binding assay (RIA) performed with the Fab version of an antibody of interest and its antigen as described by the following assay. Solution binding affinity of Fabs for antigen is measured by equilibrating Fab with a minimal concentration of (¹²⁵I)-labeled antigen in the presence of a titration series of unlabeled antigen, then capturing bound antigen with an anti-Fab antibody-coated plate (see, e.g., Chen et al., J. Mol. Biol. 293:865-881(1999)). To establish conditions for the assay, MICROTITER® multi-well plates (Thermo Scientific) are coated overnight with 5 μg/ml of a capturing anti-Fab antibody (Cappel Labs) in 50 mM sodium carbonate (pH 9.6), and subsequently blocked with 2% (w/v) bovine serum albumin in PBS for two to five hours at room temperature (approximately 23° C.). In a non-adsorbent plate (Nunc #269620), 100 μM or 26 μM [¹²⁵I]-antigen are mixed with serial dilutions of a Fab of interest (e.g., consistent with assessment of the anti-VEGF antibody, Fab-12, in Presta et al., Cancer Res. 57:4593-4599 (1997)). The Fab of interest is then incubated overnight; however, the incubation may continue for a longer period (e.g., about 65 hours) to ensure that equilibrium is reached. Thereafter, the mixtures are transferred to the capture plate for incubation at room temperature (e.g., for one hour). The solution is then removed and the plate washed eight times with 0.1% polysorbate 20 (TWEEN-20®) in PBS. When the plates have dried, 150 μl/well of scintillant (MICROSCINT-20™; Packard) is added, and the plates are counted on a TOPCOUNT™ gamma counter (Packard) for ten minutes. Concentrations of each Fab that give less than or equal to 20% of maximal binding are chosen for use in competitive binding assays.

According to another embodiment, Kd is measured using surface plasmon resonance assays using a BIACORE®-2000 or a BIACORE®-3000 (BIAcore, Inc., Piscataway, NJ) at 25° C. with immobilized antigen CM5 chips at ˜10 response units (RU). Briefly, carboxymethylated dextran biosensor chips (CM5, BIACORE, Inc.) are activated with N-ethyl-N′-(3-dimethylaminopropyl)-carbodiimide hydrochloride (EDC) and N-hydroxysuccinimide (NHS) according to the supplier's instructions. Antigen is diluted with 10 mM sodium acetate, pH 4.8, to 5 μg/ml (˜0.2 μM) before injection at a flow rate of 5 μl/minute to achieve approximately 10 response units (RU) of coupled protein. Following the injection of antigen, 1 M ethanolamine is injected to block unreacted groups. For kinetics measurements, two-fold serial dilutions of Fab (0.78 nM to 500 nM) are injected in PBS with 0.05% polysorbate 20 (TWEEN-20™) surfactant (PBST) at 25° C. at a flow rate of approximately 25 μl/min. Association rates (k_(on)) and dissociation rates (k_(off)) are calculated using a simple one-to-one Langmuir binding model (BIACORE® Evaluation Software version 3.2) by simultaneously fitting the association and dissociation sensorgrams. The equilibrium dissociation constant (Kd) is calculated as the ratio k_(off)/k_(on). See, e.g., Chen et al., J. Mol. Biol. 293:865-881 (1999). If the on-rate exceeds 10⁶ M⁻¹ s⁻¹ by the surface plasmon resonance assay above, then the on-rate can be determined by using a fluorescent quenching technique that measures the increase or decrease in fluorescence emission intensity (excitation=295 nm; emission=340 nm, 16 nm band-pass) at 25° C. of a 20 nM anti-antigen antibody (Fab form) in PBS, pH 7.2, in the presence of increasing concentrations of antigen as measured in a spectrometer, such as a stop-flow equipped spectrophotometer (Aviv Instruments) or a 8000-series SLM-AMINCO™ spectrophotometer (ThermoSpectronic) with a stirred cuvette.

2. Linkers (L1)

As described herein, a “linker” (L1) is a bifunctional or multifunctional moiety that can be used to link one or more PROTAC moieties (D) to an antibody (Ab) to form a PAC. In some embodiments, PACs can be prepared using a L1 having reactive functionalities for covalently attaching to the PROTAC and to the antibody. For example, in some embodiments, a cysteine thiol of an antibody (Ab) can form a bond with a reactive functional group of a linker or a linker L1-PROTAC group to make a PAC. Particularly, the chemical structure of the linker can have significant impact on both the efficacy and the safety of a PAC (Ducry & Stump, Bioconjugate Chem, 2010, 21, 5-13). Choosing the right linker influences proper drug delivery to the intended cellular compartment of target cells.

Linkers can be generally divided into two categories: cleavable (such as peptide, hydrzone, or disulfide) or non-cleavable (such as thioether). Peptide linkers, such as Valine-Citrulline (Val-Cit), that can be hydrolyzed by lysosomal enzymes (such as Cathepsin B) have been used to connect the drug with the antibody (U.S. Pat. No. 6,214,345). They have been particularly useful, due in part to their relative stability in systemic circulation and the ability to efficiently release the drug in tumor. However, the chemical space represented by natural peptides is limited; therefore, it is desirable to have a variety of non-peptide linkers which act like peptides and can be effectively cleaved by lysosomal proteases. The greater diversity of non-peptide structures may yield novel, beneficial properties that are not afforded by the peptide linkers. Provided herein are different types of non-peptide linkers for linker L1 that can be cleaved by lysosomal enzymes.

a. Peptidomimetic Linkers

Provided herein are different types of non-peptide, peptidomimetic linkers for PAC that are cleavable by lysosomal enzymes. For example, the amide bond in the middle of a dipeptide (e.g. Val-Cit) was replaced with an amide mimic; and/or entire amino acid (e.g., valine amino acid in Val-Cit dipeptide) was replaced with a non-amino acid moiety (e.g., cycloalkyl dicarbonyl structures (for example, ring size=4 or 5)).

When L1 is a peptidomimetic linker, it is represented by the following formula

-Str-(PM)-Sp-,

wherein:

-   -   Str is a stretcher unit covalently attached to Ab;     -   Sp is a bond or spacer unit covalently attached to a PROTAC         moiety; and     -   PM is a non-peptide chemical moiety selected from the group         consisting of:

-   -   W is —NH-heterocycloalkyl- or heterocycloalkyl;     -   Y is heteroaryl, aryl, —C(O)C₁-C₆alkylene, C₁-C₆alkylene-NH₂,         C₁-C₆alkylene-NH—CH₃, C₁-C₆alkylene-N—(CH₃)₂, C₁-C₆alkenyl or         C₁-C₆alkylenyl;     -   each R¹ is independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl,         (C₁-C₁₀alkyl)NHC(NH)NH₂ or (C₁-C₁₀alkyl)NHC(O)NH₂;     -   R³ and R² are each independently H, C₁-C₁₀alkyl, C₁-C₁₀alkenyl,         arylalkyl or heteroarylalkyl, or R³ and R² together may form a         C₃-C₇cycloalkyl; and     -   R⁴ and R⁵ are each independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl,         arylalkyl, heteroarylalkyl, (C₁-C₁₀alkyl)OCH₂—, or R⁴ and R⁵ may         form a C₃-C₇cycloalkyl ring.

It is noted that L1 may be connected to the PROTAC through any of the E3LB, L2, or PB groups.

In embodiments, Y is heteroaryl; R⁴ and R⁵ together form a cyclobutyl ring.

In embodiments, Y is a moiety selected from the group consisting of:

In embodiments, Str is a chemical moiety represented by the following formula:

wherein R⁶ is selected from the group consisting of C₁-C₁₀alkylene, C₁-C₁₀alkenyl, C₃-C₈cycloalkyl, (C₁-C₈alkylene)O—, and C₁-C₁₀alkylene-C(O)N(R^(a))—C₂-C₆alkylene, where each alkylene may be substituted by one to five substituents selected from the group consisting of halo, trifluoromethyl, difluoromethyl, amino, alkylamino, cyano, sulfonyl, sulfonamide, sulfoxide, hydroxy, alkoxy, ester, carboxylic acid, alkylthio, C₃-C₈cycloalkyl, C₄-C₇heterocycloalkyl, aryl, arylalkyl, heteroarylalkyl and heteroaryl each R^(a) is independently H or C₁-C₆alkyl; Sp is —Ar—R^(b)—, wherein Ar is aryl or heteroaryl, R^(b) is (C₁-C₁₀alkylene)O—.

In embodiments, Str has the formula:

wherein R⁷ is selected from C₁-C₁₀alkylene, C₁-C₁₀alkenyl, (C₁-C₁₀alkylene)O—, N(R^(c))—(C₂-C₆ alkylene)-N(R^(c)) and N(R^(c))—(C₂-C₆alkylene); where each R^(c) is independently H or C₁-C₆ alkyl; Sp is —Ar—R^(b)—, wherein Ar is aryl or heteroaryl, R^(b) is (C₁-C₁₀alkylene)O— or Sp-C₁-C₆alkylene-C(O)NH—.

In embodiments, L1 is a non-peptide chemical moiety represented by the following formula

-   -   R¹ is C₁-C₆alkyl, C₁-C₆alkenyl, (C₁-C₆alkyl)NHC(NH)NH₂ or         (C₁-C₆alkyl)NHC(O)NH₂;     -   R³ and R² are each independently H or C₁-C₁₀alkyl.

In embodiments, L1 is a non-peptide chemical moiety represented by the following formula

-   -   R¹ is C₁-C₆ alkyl, (C₁-C₆alkyl)NHC(NH)NH₂ or         (C₁-C₆alkyl)NHC(O)NH₂;         -   R⁴ and R⁵ together form a C₃-C₇cycloalkyl ring.

In embodiments, L1 is a non-peptide chemical moiety represented by the following formula

-   -   R¹ is C₁-C₆alkyl, (C₁-C₆alkyl)NHC(NH)NH₂ or         (C₁-C₆alkyl)NHC(O)NH₂ and W is as defined above.

In some embodiments, the linker may be a peptidomimetic linker such as those described in WO2015/095227, WO2015/095124 or WO2015/095223.

b. Non-Peptidomimetic Linkers

In an aspect, a Linker L1 forms a disulfide bond with the antibody. In an aspect, the linker has the structure:

wherein, R¹ and R² are independently selected from H and C₁-C₆ alkyl, or R¹ and R² form a 3, 4, 5, or 6-membered cycloalkyl or heterocyclyl group. The linker is covalently bound to an antibody and a PROTAC as follows:

In one aspect the carbonyl group of the linker is connected to an amine group in the PROTAC. It is also noted that the sulfur atom connected to Ab is a sulfur group from a cysteine in the antibody. In another aspect, a linker L1 has a functionality that is capable of reacting with a free cysteine present on an antibody to form a covalent bond. Nonlimiting examples of such reactive functionalities include maleimide, haloacetamides, α-haloacetyl, activated esters such as succinimide esters, 4-nitrophenyl esters, pentafluorophenyl esters, tetrafluorophenyl esters, anhydrides, acid chlorides, sulfonyl chlorides, isocyanates, and isothiocyanates. See, e.g., the conjugation method at page 766 of Klussman, et al (2004), Bioconjugate Chemistry 15(4):765-773, and the Examples herein.

In some embodiments, a linker has a functionality that is capable of reacting with an electrophilic group present on an antibody. Examples of such electrophilic groups include, but are not limited to, aldehyde and ketone carbonyl groups. In some embodiments, a heteroatom of the reactive functionality of the linker can react with an electrophilic group on an antibody and form a covalent bond to an antibody unit. Nonlimiting examples of such reactive functionalities include, but are not limited to, hydrazide, oxime, amino, hydrazine, thiosemicarbazone, hydrazine carboxylate, and arylhydrazide.

A linker may comprise one or more linker components. Exemplary linker components include 6-maleimidocaproyl (“MC”), maleimidopropanoyl (“MP”), valine-citrulline (“val-cit” or “vc”), alanine-phenylalanine (“ala-phe”), p-aminobenzyloxycarbonyl (a “PAB”), N-Succinimidyl 4-(2-pyridylthio) pentanoate (“SPP”), and 4-(N-maleimidomethyl) cyclohexane-1 carboxylate (“MCC”). Various linker components are known in the art, some of which are described below.

A linker may be a “cleavable linker,” facilitating release of a PROTAC. Nonlimiting exemplary cleavable linkers include acid-labile linkers (e.g., comprising hydrazone), protease-sensitive (e.g., peptidase-sensitive) linkers, photolabile linkers, or disulfide-containing linkers (Chari et al., Cancer Research 52:127-131 (1992); U.S. Pat. No. 5,208,020).

In certain embodiments, a linker has the following Formula:

-A_(a)-W_(w)—Y_(y)—

wherein A is a “stretcher unit”, and a is an integer from 0 to 1; W is an “amino acid unit”, and w is an integer from 0 to 12; Y is a “spacer unit”, and y is 0, 1, or 2. Exemplary embodiments of such linkers are described in U.S. Pat. No. 7,498,298.

In some embodiments, a linker component comprises a “stretcher unit” that links an antibody to another linker component or to a PROTAC moiety. Nonlimiting exemplary stretcher units are shown below (wherein the wavy line indicates sites of covalent attachment to an antibody, PROTAC, or additional linker components):

3. PROTAC (“D”)

Useful PROTACs have the general formula described above. Particular PROTACs are described in U.S. Pat. No. 7,208,157, WO2013/106643, WO2013/106646, and WO2015/160845. PROTACs include those having the following components.

a. E3 Ubiquitin Ligases Binding Groups (E3LB)

E3 ubiquitin ligases (of which over 600 are known in humans) confer substrate specificity for ubiquitination. There are known ligands which bind to these ligases. As described herein, an E3 ubiquitin ligase binding group is a peptide or small molecule that can bind an E3 ubiquitin ligase.

Specific E3 ubiquitin ligases include: von Hippel-Lindau (VHL); cereblon, XIAP, E3A; MDM2; Anaphase-promoting complex (APC); UBR5 (EDD1); SOCS/BC-box/eloBC/CUL5/RING; LNXp80; CBX4; CBLL1; HACE1; HECTD1; HECTD2; HECTD3; HECW1; HECW2; HERC1; HERC2; HERC3; HERC4; HUWE1; ITCH; NEDD4; NEDD4L; PPIL2; PRPF19; PIAS1; PIAS2; PIAS3; PIAS4; RANBP2; RNF4; RBX1; SMURF1; SMURF2; STUB1; TOPORS; TRIP12; UBE3A; UBE3B; UBE3C; UBE4A; UBE4B; UBOX5; UBR5; WWP1; WWP2; Parkin; A20/TNFAIP3; AMFR/gp78; ARA54; beta-TrCP1/BTRC; BRCA1; CBL; CHIP/STUB1; E6; E6AP/UBE3A; F-box protein 15/FBXO15; FBXW7/Cdc4; GRAIL/RNF128; HOIP/RNF31; cIAP-1/HIAP-2; cIAP-2/HIAP-1; cIAP (pan); ITCH/AIP4; KAP1; MARCH8; Mind Bomb 1/MIB1; Mind Bomb 2/MIB2; MuRF1/TRIM63; NDFIP1; NEDD4; NleL; Parkin; RNF2; RNF4; RNF8; RNF168; RNF43; SART1; Skp2; SMURF2; TRAF-1; TRAF-2; TRAF-3; TRAF-4; TRAF-5; TRAF-6; TRIM5; TRIM21; TRIM32; UBR5; and ZNRF3.

The following Tables 13-27 list certain E3 ligases.

TABLE 13 E3 Ligases, HECT type. HECT Name UniProt Type Genbank LL Refseq Unigene Domains EDD/HYD O95071 HECT AF006010 51366 NM_015902 Hs.492445 HECT; UBA; ZF_UBR1; pab FLJ21156 Q5T447 HECT AK096462 79654 NM_024602 Hs.525084 DOC1; HECT HACE1/KIAA1320 Q5VU99 HECT BC034982 57531 NM_020771 Hs.434340 Ank; HECT HECTD1 Q9ULT8 HECT BC011658 25831 NM_015382 Hs.210850 HECT; MIB_HERC2; HECTD2 Q5U5R9 HECT BC040187 143279 NM_182765; Hs.66378 HECT NM_173497 HECW1/NEDL1 Q9HCC7 HECT AB048365 23072 NM_015052 Hs.164453 C2; HECT; WW HECW2/KIAA1301 Q9P2P5 HECT AB037722 57520 NM_020760 Hs.314436 C2; HECT; WW HERC1/P532 Q15751 HECT U50078 8925 NM_003922 Hs.210385 HECT; SPRY; WD; RCC HERC2 O95714 HECT AF071172 8924 NM_004667 Hs.434890 DOC1; HECT; HERC2; MIB_HERC2; UBA; ZZ; RCC HERC3 Q15034 HECT D25215 8916 NM_014606 Hs.35804 HECT; RCC HERC4 Q5VXS9 HECT BC039600 26091 NM_015601 Hs.51891 HECT; RCC HERC5/CEBP1 Q9UII4 HECT AB027289 51191 NM_016323 Hs.26663 HECT; RCC HERC6 Q8IVU3 HECT BC042047 55008 NM_017912 Hs.529317 HECT; RCC ITCH Q96J02 HECT AB056663 83737 NM_031483 Hs.472509 C2; HECT; WW KIAA0317 O15033 HECT AB002315 9870 NM_014821 Hs.497417 HECT KIAA0614/FLJ30092 Q9Y4D8 HECT AB014514 none XM_497354 Hs.7314 HECT; SPRY KIAA1333/FLJ20333 Q9NXC0 HECT AK000340 55632 NM_017769 Hs.509008 HECT; RF NEDD4 P46934 HECT D42055 4734 NM_198400; Hs.1565 C2; HECT; WW NM_006154 NEDD4L Q7Z5F1 HECT AY112985 23327 NM_015277 Hs.185677 C2; HECT; WW SMURF1 Q9HCE7 HECT AF199364 57154 NM_020429; Hs.189329 C2; HECT; WW NM_181349 SMURF2 Q9HAU4 HECT AF310676 64750 NM_022739 Hs.515011 C2; HECT; WW TRIP12 Q14669 HECT D28476 9320 NM_004238 Hs.368985 HEAT/ARM; HECT; WWE UBE3A/E6AP Q05086 HECT X98031 7337 NM_000462; Hs.22543 HECT NM_130838; NM_130839 UBE3B Q9BXZ4 HECT AF251046 89910 NM_130466; Hs.374067 HECT; IQ NM_183415; NM_183414 UBE3C/KIAA0010 Q15386 HECT D13635 9690 NM_014671 Hs.118351 HECT; IQ; IRF3CT UREB1/LASU1 Q7Z6Z7 HECT CR456813 none NM_031407 Hs.136905 HECT; UBA; UIM; WWE WWP1 Q9H0M0 HECT AY043361 11059 NM_007013 Hs.533440 C2; HECT; WW WWP2 O00308 HECT BC064531 11060 NM_007014; Hs.408458 HECT; WW NM_199423; NM_199424

TABLE 14 E3 Ligases, RING type. RING Name UniProt Type Genbank LL Refseq Unigene Domains AMFR Q9UKV5 RING AF124145 267 NM_138958; Hs.295137 RF; CUE1; DER3 NM_001144 ANAPC11 Q9NYG5 RING AF247565 51529 NM_001002249; Hs.534456 RF NM_016476; NM_001002246; NM_001002248; NM_001002244; NM_001002247; NM_001002245 BARD1 Q99728 RING U76638 580 NM_000465 Hs.54089 RF; Ank; BRCT BFAR/BAR Q9NZS9 RING BC003054 51283 NM_016561 Hs.435556 RF; SAM BIRC2/cIAP1 Q13490 RING BC016174 329 NM_001166 Hs.503704 RF; BIR; CARD BIRC3/cIAP2 Q13489 RING U37546 330 NM_001165; Hs.127799 RF; BIR; CARD NM_182962 BIRC4/XIAP P98170 RING U45880 331 NM_001167 Hs.356076 RF; BIR BIRC7/Livin Q96CA5 RING BC014475 79444 NM_139317 Hs.256126 RF; BIR BIRC8/ILP2 Q96P09 RING AF164682 112401 NM_033341 Hs.348263 RF; BIR BRAP Q7Z569 RING AF035620 8315 NM_006768 Hs.530940 RF; ZFu BRCA1 P38398 RING U14680 672 NM_007294; Hs.194143 RF; BRCT NM_007304; NM_007299; NM_007300; NM_007302; NM_007306; NM_007296; NM_007301; NM_007305; NM_007297; NM_007303; NM_007295; NM_007298 C13orf7 Q5W0B1 RING BC028586 79596 NM_024546 Hs.93956 RF C16orf28/FLJ12623 Q9H9P5 RING AK022685 65259 NM_023076 Hs.161279 RF C17orf29 Q63HN8 RING BX647946 57674 NM_020914 Hs.195642 RF C18orf23/FLJ45559 Q6ZSG1 RING AK127467 147341 NM_152470 Hs.501114 RF CBL P22681 RING X57110 867 NM_005188 Hs.504096 RF; UBA CBLB Q13191 RING U26710 868 NM_170662 Hs.430589 RF; UBA CBLC Q9ULV8 RING AF117646 23624 NM_012116 Hs.466907 RF CBLL1 Q8TAJ4 RING BC027460 79872 NM_024814 Hs.432792 RF CGRRF1 Q99675 RING U66469 10668 NM_006568 Hs.59106 RF CHFR Q96EP1 RING AF170724 55743 NM_018223 Hs.507336 RF; FHA CNOT4 O95628 RING U71267 4850 NM_013316; Hs.490224 RF; RBD NM_001008225 DKFZp547C195 Q6P2E0 RING BC064581 257160 NM_207343 Hs.380110 RF DKFZp761H1710 Q9H0X6 RING AL136540 83459 NM_031297 Hs.512767 RF DTX1 Q86Y01 RING BC048216 1840 NM_004416 Hs.372152 RF; WWE DTX2 Q86UW9 RING AK023924 113878 NM_020892 Hs.187058 RF; WWE DTX3 Q8N9I9 RING AK092085 196403 NM_178502 Hs.32374 RF DTX3L/BBAP Q8TDB6 RING BC060509 151636 NM_138287 Hs.518201 RF DTX4/KIAA0937 Q9Y2E6 RING AB023154 none XM_166213 Hs.523696 RF; WWE DZIP3 Q86Y13 RING AB014575 9666 NM_014648 Hs.409210 RF FLJ10520 Q5XKR3 RING BC002574 none none Hs.77510 RF FLJ12270/KIAA1923 Q96PW5 RING AB067510 79726 NM_030581 Hs.280951 RF; GIUEV; WD FLJ12875 Q969V5 RING BC014010 79594 NM_024544 Hs.10101 RF FLJ16581 Q6ZWI9 RING AK122906 none XM_498131 Hs.448264 RF; SPRY FLJ20225 Q9NXI6 RING AK000232 54546 NM_019062 Hs.124835 RF FLJ20315/URCC Q65ZA4 RING AB081837 54894 NM_017763 Hs.500398 RF FLJ23749 Q8TEA0 RING AK074329 91694 NM_152271 Hs.180178 RF FLJ31951 Q8IVP7 RING BC042684 153830 NM_144726 Hs.349306 RF; DER3 FLJ35757 Q8NA82 RING AK093076 162333 NM_152598 Hs.446268 RF FLJ36180 Q8N9V2 RING AK093499 339976 NM_178556 Hs.348618 RF; BBOX; SPRY FLJ38628 Q96GF1 RING BC009504 91445 NM_152267 Hs.517553 RF FLJ45273 Q6ZSR4 RING AK127206 164832 NM_198461 Hs.30646 RF FLJ46380 Q6ZRF8 RING AK128246 388591 NM_207396 Hs.512336 RF HOZFP Q86VG1 RING BC051193 152518 NM_152995 Hs.351839 RF KIAA0804 O94896 RING AB018347 23355 NM_015303; Hs.269263 RF NM_001009921 KIAA1333/FLJ20333 Q9NXC0 RING AK000340 55632 NM_017769 Hs.509008 RF; HECT KIAA1404 Q9P2E3 RING AK002139 57169 NM_021035 Hs.371794 RF; SEN1 KIAA1542 Q9P1Y6 RING AB040975 57661 NM_020901 Hs.325838 RF KIAA1972 Q96DX4 RING BC013173 89970 NM_133368 Hs.460885 RF; SPRY KIAA1991 Q8NCN4 RING AB082522 none XM_495886 Hs.369437 RF LNX Q8TBB1 RING BC022983 84708 NM_032622 Hs.407755 RF; PDZ LNX2 Q8N448 RING BC036755 222484 NM_153371 Hs.132359 RF; PDZ LOC149603 Q6PJR0 RING BC012758 none XM_047499 Hs.356377 RF LOC285498 Q8IY99 RING BC036250 285498 NM_194439 Hs.248290 RF LOC493829 Q8N4X6 RING BC033211 493829 NM_001008274 Hs.535455 RF; BBOX LOC51136/FLJ25783 Q8N7D0 RING AK098649 51136 NM_016125 Hs.531701 RF LOC51255 Q9P0P0 RING AF151072 51255 NM_016494 Hs.11156 RF LRSAM1/TAL Q6UWE0 RING AY358830 90678 NM_138361; Hs.495188 RF; LRR; SAM NM_001005373; NM_001005374 M96/MTF2 Q9Y483 RING AJ010014 22823 NM_007358 Hs.31016 RF MAP3K1 Q13233 RING AF042838 none XM_042066 Hs.508461 RF; kinase MARCH1 Q8TCQ1 RING AL713759 55016 NM_017923 Hs.136900 RF MARCH2/MARCH-II Q9P0N8 RING AF151074 51257 NM_016496; Hs.445113 RF NM_001005416; NM_001005415 MARCH3/MARCH-III Q86UD3 RING BC047569 115123 NM_178450 Hs.132441 RF MARCH5/RNF153 Q9NX47 RING AK000452 54708 NM_017824 Hs.549165 RF MARCH6/KIAA0597 O60337 RING AB011169 10299 NM_005885 Hs.432862 RF MARCH7/AXOT Q9H992 RING BC065014 64844 NM_022826 Hs.529272 RF MARCH8/MIR Q8TC72 RING BC025394 220972 NM_001002265; Hs.499489 RF NM_145021; NM_001002266 MARCH9/MARCH-IX Q86VN5 RING BC050397 92979 NM_138396 Hs.65377 RF; RGG MDM2 Q00987 RING M92424 4193 NM_006878; Hs.369849 RF; MBL; NZF; ZFrn NM_006881; NM_006880; NM_002392; NM_006882; NM_006879 MDM4 O15151 RING AF007111 4194 NM_002393 Hs.497492 RF; MBL; NZF; ZFrn MGC4734 Q96D59 RING BC013036 138065 NM_145051 Hs.211374 RF MGRN1 Q86W76 RING BC050389 23295 NM_015246 Hs.526494 RF MIB1/MIB Q86YT6 RING AY149908 57534 NM_020774 Hs.140903 RF; Ank; MIBOREP; MIB_HERC2; ZZ MID1 O15344 RING Y13667 4281 NM_000381; Hs.27695 RF; POSTRFBBOX; SPRY NM_033290; NM_033291 MID2 Q9UJV3 RING Y18880 11043 NM_052817; Hs.12256 RF; POSTRFBBOX; SPRY NM_012216 MKRN1 Q9UHC7 RING BC025955 23608 NM_013446 Hs.490347 RF; ZF_MAKORIN MKRN2 Q9H000 RING BC015715 23609 NM_014160 Hs.279474 RF; ZF_MAKORIN MKRN3 Q13064 RING U19107 7681 NM_005664 Hs.72964 RF; ZF_MAKORIN MNAB/MASNAB Q9HBD2 RING AF255303 54542 NM_018835 Hs.533499 RF; ZF_CCCH MNAT1 P51948 RING X87843 4331 NM_002431 Hs.509523 RF MYCBP2 Q6PIB6 RING BC037971 23077 NM_015057 Hs.151411 RF MYLIP Q8WY64 RING AF006003 29116 NM_013262 Hs.484738 RF; BAND_41 NEURL O76050 RING U87864 9148 NM_004210 Hs.549085 RF; NEURALIZED NFX1 Q12986 RING U15306 4799 NM_002504; Hs.413074 RF; DNABIND_JAG NM_147133; NM_147134 NHLRC1/Malin Q6VVB1 RING BK001510 378884 NM_198586 Hs.348351 RF NSMCE1/NSE1 Q8WV22 RING BC018938 197370 NM_145080 Hs.284295 RF PCGF1/NSPC1 Q9BSM1 RING BC004952 84759 NM_032673 Hs.316750 RF PCGF2/RNF110 P35227 RING D13969 7703 NM_007144 Hs.371617 RF PCGF4/BMI1 P35226 RING L13689 648 NM_005180 Hs.380403 RF PCGF5 Q86SE9 RING BC051845 84333 NM_032373 Hs.500512 RF PCGF6/hMBLR Q9BYE7 RING AB047006 84108 NM_032154 Hs.335808 RF PDZRN3/KIAA1095 Q9UPQ7 RING AB029018 23024 NM_015009 Hs.434900 RF; PDZ; ZFt PEX10 O60683 RING AF060502 5192 NM_153818; Hs.546273 RF NM_002617 PEX12 O00623 RING U91521 5193 NM_000286 Hs.270532 RF PHF7 Q9NSX7 RING BC022002 51533 NM_173341; Hs.372719 RF NM_016483 PJA1 Q8NG27 RING AF262024 64219 NM_022368; Hs.522679 RF NM_145119 PJA2 Q8N1G5 RING BC030826 9867 NM_014819 Hs.483036 RF PML P29590 RING AF230401 5371 NM_033246; Hs.526464 RF; BBOX NM_033239; NM_033240; NM_033242; NM_033247; NM_033238; NM_033244; NM_002675; NM_033250; NM_033249; NM_033245 PXMP3 P28328 RING M86852 5828 NM_000318 Hs.437966 RF RAD18 Q9NS91 RING AB035274 56852 NM_020165 Hs.375684 RF; SAF; ZF_RAD18 RAG1 P15918 RING M29474 5896 NM_000448 Hs.73958 RF RAPSN Q13702 RING Z33905 5913 NM_005055; Hs.81218 RF; TPR NM_032645 RBBP6 Q7Z6E9 RING AB112074 5930 NM_032626; Hs.188553 RF; ZFc NM_018703; NM_006910 RBX1 P62877 RING AF142059 9978 NM_014248 Hs.474949 RF RCHY1 Q96PM5 RING AF247041 25898 NM_015436; Hs.48297 RF; ZF_CHYCT; ZF_HOT13 NM_001009922; NM_001008925 RFFL Q8TBY7 RING BC028424 117584 NM_057178 Hs.13680 RF; FYVE RFP P14373 RING J03407 5987 NM_006510; Hs.440382 RF; BBOX; SPRY NM_030950 RFP2 O60858 RING AJ224819 10206 NM_213590; Hs.436922 RF; BBOX NM_052811; NM_001007278; NM_005798 RFPL1 O75677 RING AJ010228 5988 NM_021026 Hs.167750 RF; SPRY RFPL2 O75678 RING BC051910 10739 NM_006605 Hs.157427 RF; SPRY RFPL3 O75679 RING AJ010232 10738 NM_006604 Hs.167751 RF; SPRY RFWD2/COP1 Q8NHY2 RING AF508940 64326 NM_001001740; Hs.523744 RF; WD NM_022457 RING1 Q06587 RING Z14000 6015 NM_002931 Hs.202430 RF RKHD1 Q86XN8 RING AB107353 399664 NM_203304 Hs.436495 RF; KH RKHD2 Q5U5Q3 RING BC041122 51320 NM_016626 Hs.465144 RF RKHD3/KIAA2009 Q8IVG2 RING AB095929 84206 NM_032246 Hs.104744 RF; KH RNF10/RIE2 Q9ULW4 RING AB027196 9921 NM_014868 Hs.442798 RF RNF103 O00237 RING D76444 7844 NM_005667 Hs.469199 RF RNF11 Q9Y3C5 RING AB024703 26994 NM_014372 Hs.309641 RF RNF111 Q6P9A4 RING BC060862 54778 NM_017610 Hs.404423 RF RNF12 Q9NVW2 RING AJ271670 51132 NM_016120; Hs.122121 RF NM_183353 RNF121 Q96DB4 RING BC009672 55298 NM_194453; Hs.368554 RF NM_194452; NM_018320 RNF122/FLJ12526 Q9H9V4 RING AK022588 79845 NM_024787 Hs.151237 RF RNF123/KPC1 Q5XPI4 RING AY744152 63891 NM_022064 Hs.517970 RF; SPRY RNF125 Q96EQ8 RING BC012021 54941 NM_017831 Hs.272800 RF; ZF_ZNF313 RNF126 Q9BV68 RING BC001442 55658 NM_017876; Hs.69554 RF; ZF_CIP8 NM_194460 RNF127/FLJ34458 Q8NB00 RING AK091777 79836 NM_024778 Hs.144266 RF; TPR RNF128/GRAIL Q96RF3 RING AF394689 79589 NM_194463; Hs.496542 RF; PA NM_024539 RNF13 O43567 RING AF037204 11342 NM_183381; Hs.12333 RF; PA NM_183384; NM_007282; NM_183383; NM_183382 RNF130 Q86XS8 RING AY083998 55819 NM_018434 Hs.484363 RF; PA RNF133 Q8WVZ7 RING BC022038 168433 NM_139175 Hs.549267 RF; PA RNF135/MGC13061 Q8IUD6 RING AY598332 84282 NM_032322; Hs.29874 RF; SPRY NM_197939 RNF138 Q8WVD3 RING BC018107 51444 NM_198128; Hs.302408 RF; ZF_ZNF313 NM_016271 RNF139/TRC8 O75485 RING AF064801 11236 NM_007218 Hs.492751 RF; DER3 RNF141 Q8WVD5 RING BC018104 50862 NM_016422 Hs.44685 RF RNF146/Dactylidin Q9NTX7 RING AK027558 81847 NM_030963 Hs.267120 RF; WWE RNF148 Q8N308 RING BC029264 378925 NM_198085 Hs.529656 RF; PA RNF149 Q8NC42 RING AK074985 284996 NM_173647 Hs.171802 RF; PA RNF150/KIAA1214 Q9ULK6 RING AB033040 57484 NM_020724 Hs.480825 RF RNF151 Q8NHS5 RING BC029501 none XM_370927 Hs.99354 RF; ZFt RNF152 Q8N8N0 RING AK096495 220441 NM_173557 Hs.465316 RF RNF157/KIAA1917 Q96PX1 RING AB067504 114804 NM_052916 Hs.269891 RF RNF166 Q96A37 RING BC017226 115992 NM_178841 Hs.513804 RF; ZF_ZNF313 RNF167 Q9H6Y7 RING AK025329 26001 NM_015528 Hs.7158 RF; PA RNF168/FLJ35794 Q8IYW5 RING BC033791 165918 NM_152617 Hs.518396 RF RNF170 Q86YC0 RING BC044566 81790 NM_030954 Hs.491626 RF RNF175/LOC285533 Q8N4F7 RING BC034385 285533 NM_173662 Hs.388364 RF RNF180 Q86T96 RING AL832580 285671 NM_178532 Hs.98890 RF RNF182/MGC33993 Q8N6D2 RING BC030666 221687 NM_152737 Hs.111164 RF RNF2/DING Q99496 RING Y10571 6045 NM_007212 Hs.124186 RF RNF20 Q5VTR2 RING BC063115 56254 NM_019592 Hs.168095 RF RNF24 Q9Y225 RING AL096778 11237 NM_007219 Hs.114180 RF RNF25 Q96BH1 RING BC015612 64320 NM_022453 Hs.471403 RF; GIUEV RNF26 Q9BY78 RING AB055622 79102 NM_032015 Hs.524084 RF RNF32 Q6FIB3 RING CR533513 140545 NM_030936 Hs.490715 RF; IQ RNF34 Q969K3 RING AF306709 80196 NM_194271; Hs.292804 RF; FYVE NM_025126 RNF36 Q86WT6 RING BC047945 140691 NM_080745; Hs.169810 RF; POSTBBOX; SPRY NM_182985 RNF38 Q9H0F5 RING AF394047 152006 NM_194330; Hs.333503 RF NM_022781; NM_194328; NM_194331; NM_194329; NM_194332 RNF39/HCGV Q96QB5 RING AF238315 80352 NM_025236; Hs.121178 RF; SPRY NM_170769; NM_170770 RNF3A O15262 RING AJ001019 10336 NM_006315 Hs.144309 RF RNF4 P78317 RING AB000468 6047 NM_002938 Hs.66394 RF RNF40/KIAA0661 O75150 RING AB014561 9810 NM_194352; Hs.65238 RF NM_014771 RNF41 O75598 RING AF077599 10193 NM_194358; Hs.524502 RF NM_194359; NM_005785 RNF44 Q7L0R7 RING BC039833 22838 NM_014901 Hs.434888 RF RNF5/HsRma1 Q99942 RING AB056869 6048 NM_006913 Hs.534342 RF RNF6 Q9Y252 RING AJ010347 6049 NM_183044; Hs.136885 RF NM_005977; NM_183043; NM_183045 RNF7/ROC2 Q9UBF6 RING AF164679 9616 NM_183237; Hs.134623 RF NM_183063; NM_014245 RNF8 O76064 RING AB012770 9025 NM_003958; Hs.485278 RF; FHA NM_183078 RP11- Q5T197 RING AK057347 149095 NM_152494 Hs.351431 RF 307C12.10 RP4-678E16.1 Q5VTB9 RING BC034221 55182 NM_018150 Hs.456557 RF RP5-1198E17.5 Q5TC82 RING AB095945 none XM_086409 Hs.495097 RF; ZF_CCCH SH3MD2 Q7Z6J0 RING BC053671 57630 NM_020870 Hs.301804 RF; SH3 SH3RF2/FLJ23654 Q8TEC5 RING AK074234 153769 NM_152550 Hs.443728 RF; SH3 SIAH1 Q8IUQ4 RING U63295 6477 NM_001006610; Hs.295923 RF NM_003031; NM_001006611 SIAH2 O43255 RING Y15268 6478 NM_005067 Hs.477959 RF SMARCA3/HIP116 Q14527 RING L34673 6596 NM_139048; Hs.3068 RF NM_003071 SYVN1/HRD1 Q8N6E8 RING BC030530 84447 NM_172230; Hs.321535 RF; DER3 NM_032431 TOPORS Q9UNR9 RING AF098300 10210 NM_005802 Hs.535961 RF; ICP0 TRAF2 Q12933 RING BC032410 7186 NM_021138 Hs.522506 RF; ZFt; TRAF TRAF3 Q13114 RING U21092 7187 NM_145725; Hs.510528 RF; ZFt; TRAF NM_003300; NM_145726 TRAF4 Q9BUZ4 RING BC001769 9618 NM_004295; Hs.8375 RF; ZFt; TRAF NM_145751 TRAF5 O00463 RING AB000509 7188 NM_145759; Hs.523930 RF; ZFt; TRAF NM_004619 TRAF6 Q9Y4K3 RING U78798 7189 NM_145803; Hs.444172 RF; ZFt; TRAF NM_004620 TRAF7 Q6Q0C0 RING AY569455 84231 NM_032271; Hs.334479 RF; ZFt; WD NM_206835 TRIM10 Q9UDY6 RING AF220122 10107 NM_052828; Hs.274295 RF; BBOX; POSTBBOX; NM_006778 SPRY TRIM11 Q96F44 RING AF327056 81559 NM_145214 Hs.13543 RF; BBOX; POSTBBOX; SPRY TRIM15 Q9C019 RING AF220132 89870 NM_033229; Hs.309602 RF; BBOX; POSTBBOX; NM_052812 SPRY TRIM17 Q9Y577 RING AF156271 51127 NM_016102 Hs.121748 RF; BBOX; POSTBBOX; SPRY TRIM2 Q9C040 RING AF220018 23321 NM_015271 Hs.435711 RF; BBOX; POSTBBOX TRIM21 P19474 RING M34551 6737 NM_003141 Hs.532357 RF; BBOX; POSTBBOX; SPRY TRIM22 Q8IYM9 RING BC035582 10346 NM_006074 Hs.501778 RF; BBOX; POSTBBOX; SPRY TRIM23 P36406 RING L04510 373 NM_033227; Hs.792 RF; BBOX; GTPase NM_001656; NM_033228 TRIM25 Q14258 RING D21205 7706 NM_005082 Hs.534366 RF; SPRY TRIM26 Q12899 RING U09825 7726 NM_003449 Hs.485041 RF; BBOX; POSTBBOX; SPRY TRIM3 O75382 RING AF045239 10612 NM_006458; Hs.159408 RF; BBOX; POSTBBOX NM_033278 TRIM31 Q9BZY9 RING AF230386 11074 NM_007028; Hs.493275 RF; BBOX; POSTBBOX NM_052816 TRIM32 Q13049 RING AL133284 22954 NM_012210 Hs.209217 RF; BBOX TRIM34 Q9BYJ4 RING AB039902 53840 NM_001003827; Hs.125300 RF; BBOX; POSTBBOX; NM_021616; SPRY NM_130390; NM_130389 TRIM35 Q9UPQ4 RING AF492463 23087 NM_015066; Hs.104223 RF; BBOX; SPRY NM_171982 TRIM36 Q9NQ86 RING AJ272269 55521 NM_018700 Hs.519514 RF; BBOX; POSTBBOX; SPRY TRIM37 O94972 RING AB020705 4591 NM_001005207; Hs.412767 RF; BBOX; TRAF NM_015294 TRIM38 O00635 RING U90547 10475 NM_006355 Hs.202510 RF; BBOX; POSTBBOX; SPRY TRIM39/RNF23 Q9HCM9 RING AB046381 56658 NM_172016; Hs.413493 RF; BBOX; POSTBBOX; NM_021253 SPRY TRIM4 Q9C037 RING AF220023 89122 NM_057096; Hs.50749 RF; BBOX; POSTBBOX; NM_057095; SPRY NM_022820; NM_033091; NM_033017 TRIM40/RNF35 Q6P9F5 RING BC060785 135644 NM_138700 Hs.509439 RF; BBOX TRIM41 Q8WV44 RING AB100366 90933 NM_033549; Hs.441488 RF; BBOX; POSTBBOX; NM_201627 SPRY TRIM42 Q8IWZ5 RING AF521868 287015 NM_152616 Hs.343487 RF; BBOX; POSTBBOX TRIM43 Q96BQ3 RING BC015353 129868 NM_138800 Hs.232026 RF; BBOX; SPRY TRIM45 Q9H8W5 RING AY669488 80263 NM_025188 Hs.301526 RF; BBOX; POSTBBOX TRIM46 Q7Z4K8 RING AY251386 80128 NM_025058 Hs.287735 RF; BBOX; POSTBBOX; SPRY TRIM47 Q96LD4 RING AY026763 91107 NM_033452 Hs.293660 RF; BBOX; SPRY TRIM48 Q8IWZ4 RING AF521869 79097 NM_024114 Hs.195715 RF; BBOX; SPRY TRIM49/RNF18 Q9NS80 RING AB037682 57093 NM_020358 Hs.534218 RF; BBOX; SPRY TRIM5 Q9C035 RING AF220025 85363 NM_033034; Hs.370515 RF; BBOX; POSTBBOX; NM_033093; SPRY NM_033092 TRIM50A Q86XT4 RING AY081948 135892 NM_178125 Hs.404810 RF; BBOX; SPRY TRIM50B Q86UV7 RING AF498998 none XM_353628 Hs.511015 RF; BBOX TRIM50C Q86UV6 RING AF498999 378108 NM_198853 Hs.534009 RF; BBOX; ZF_RAD18 TRIM52 Q96A61 RING AK054802 84851 NM_032765 Hs.458412 RF; BBOX TRIM54/RNF30 Q9BYV2 RING AJ291714 57159 NM_187841; Hs.516036 RF; BBOX; POSTBBOX NM_032546 TRIM55/RNF29 Q9BYV6 RING BC007750 84675 NM_184087; Hs.85524 RF; BBOX; POSTBBOX NM_184085; NM_184086; NM_033058 TRIM56 Q9BRZ2 RING BC005847 81844 NM_030961 Hs.521092 RF; BBOX; POSTBBOX TRIM58/BIA2 Q8NG06 RING AK096188 25893 NM_015431 Hs.323858 RF; POSTBBOX; SPRY TRIM59/TSBF1 Q8IWR1 RING AY159379 286827 NM_173084 Hs.212957 RF; BBOX TRIM6 Q9C030 RING AF220030 117854 NM_058166; Hs.350518 RF; BBOX; POSTBBOX; NM_001003818 SPRY TRIM60/FLJ35882 Q8NA35 RING AK093201 166655 NM_152620 Hs.368004 RF; BBOX; POSTBBOX; SPRY TRIM61 Q5EBN2 RING BC089393 391712 NM_001012414 Hs.529351 RF; BBOX TRIM62 Q9BVG3 RING BC001222 55223 NM_018207 Hs.404997 RF; BBOX; POSTBBOX; SPRY TRIM63/RNF28 Q969Q1 RING AF353673 84676 NM_032588 Hs.279709 RF; BBOX; POSTBBOX TRIM65 Q6PJ69 RING BC021259 201292 NM_173547 Hs.189823 RF; BBOX; SPRY TRIM67/TNL Q7Z4K7 RING AY253917 440730 NM_001004342 Hs.131295 RF; BBOX; POSTBBOX; SPRY TRIM68 Q6AZZ1 RING BC075058 55128 NM_018073 Hs.523438 RF; BBOX; SPRY TRIM7 Q9C029 RING AF396651 81786 NM_203295; Hs.487412 RF; BBOX; POSTBBOX; NM_203297; SPRY NM_203294; NM_203293; NM_033342; NM_203296 TRIM8 Q9BZR9 RING AF220034 81603 NM_030912 Hs.336810 RF; POSTRF; BBOX TRIM9 Q9C026 RING AF220037 114088 NM_052978; Hs.368928 RF; BBOX; POSTBBOX; NM_015163 SPRY TRIP/TRAIP Q9BWF2 RING BC000310 10293 NM_005879 Hs.517972 RF TTC3 P53804 RING D83077 7267 NM_001001894; Hs.368214 RF; TPR NM_003316 UBOX5/RNF37 O94941 RING + Ubox AB020667 22888 NM_199415; Hs.129448 RF NM_014948 UBR1 Q8IWV7 RING AY061886 197131 NM_174916 Hs.145209 RF; CLPS; ZF_UBR1 UBR2/UBR1L2 Q8IWV8 RING AY061884 23304 NM_015255 Hs.529925 RF; CLPS; ZF_UBR1 UHRF1/FLJ21925 Q9H6S6 RING AK025578 29128 NM_013282 Hs.108106 RF UHRF2 Q659C8 RING AL137728 115426 NM_152896; Hs.493401 RF NM_152306 VPS11 Q9H270 RING AF308800 55823 NM_021729 Hs.234282 RF; Clath VPS18 Q9P253 RING AF308802 57617 NM_020857 Hs.23876 RF; Clath VPS41 P49754 RING U87309 27072 NM_014396; Hs.148721 RF; Clath NM_080631 ZFPL1 O95159 RING AF030291 7542 NM_006782 Hs.155165 RF ZNF179 Q9ULX5 RING AB026054 7732 NM_007148 Hs.189482 RF; GTPase ZNF183 O15541 RING X98253 7737 NM_006978 Hs.458365 RF; ZF_CCCH ZNF183L1 Q8IZP6 RING BC017585 140432 NM_178861 Hs.296045 RF; ZF_CCCH ZNF294 O94822 RING AB018257 26046 NM_015565 Hs.288773 RF; GIUEV ZNF313 Q9Y508 RING AF265215 55905 NM_018683 Hs.144949 RF; ZF_ZNF313 ZNF364 Q9Y4L5 RING AF419857 27246 NM_014455 Hs.523550 RF; ZF_CIP8 ZNF598 Q86UK7 RING BC050477 90850 NM_178167 Hs.343828 RF ZNF645 Q6DJY9 RING BC074910 158506 NM_152577 Hs.132485 RF; BBOX ZNF650/UBR1L1 Q6ZT12 RING AK126998 130507 NM_172070 Hs.379548 RF; UBR1CT ZNRF1 Q8ND25 RING AL834440 84937 NM_032268 Hs.427284 RF; ZF_RAD18 ZNRF2 Q8NHG8 RING AF527533 223082 NM_147128 Hs.487869 RF; ZF_RAD18 ZNRF3/KIAA1133 Q9ULT6 RING AB051436 none XM_290972 Hs.134473 RF ZNRF4/LOC148066 Q8WWF5 RING BC017592 148066 NM_181710 Hs.126496 RF; PA ZSWIM2 Q8NEG5 RING BC031094 151112 NM_182521 Hs.375054 RF; ZZ ZZANK1/Skeletrophin Q8NI59 RING AB074480 142678 NM_080875 Hs.135805 RF; Ank; MIBOREP; MIB_HERC2; ZZ ENSP00000280266 ENSP00000280266 RING ENST00000280266 none none none RF; BBOX; SPRY ENSP00000344026 ENSP00000344026 RING ENST00000344287 none XM_292796 Hs.451647 RF; SPRY ENSP00000348371 ENSP00000348371 RING ENST00000356071 none XM_373101 Hs.356440 RF; NEURALIZED GENSCAN00000024511 GENSCAN00000024511H RING GENSCAN00000024511 none XM_497353 Hs.131991 RF; SPRY DKFZp434E1818 ENSP00000343122 RING AL133632 none XM_372169 Hs.512564 RF MKRN4 Q13434 RING U41315 RF; ZF_MAKORIN pseudogene

TABLE 15 E3 Ligases, PARKIN-Finger type. PARKIN-Finger Name UniProt Type Genbank LL Refseq Unigene Domains ANKIB1 Q9P2G1 PF AB037807 none XM_377955 Hs.83293 PF1; PF2; PF3; Ank; ARICT; ARINT; UIM ARIH1/UBCH7BP Q9Y4X5 PF BC051877 25820 NM_005744 Hs.268787 PF1; PF2; PF3; ARICT; ARINT ARIH2/TRIAD1 O95376 PF AF099149 10425 NM_006321 Hs.241558 PF1; PF2; PF3; ARICT; ARINT IBRDC1 Q8TC41 PF BC026087 154214 NM_152553 Hs.368639 PF1; PF2; PF3 IBRDC2 Q7Z419 PF AB076367 255488 NM_182757 Hs.148741 PF1; PF2; PF3 IBRDC3 Q6ZMZ0 PF AK131439 127544 NM_153341 Hs.546478 PF1; PF2; PF3 PARC Q8IWT3 PF AJ318215 23113 NM_015089 Hs.485434 PF1; PF2; PF3; ARICT; ARINT; CULLIN; DOC1; HERC2 PARK2 O60260 PF AB009973 5071 NM_013987; Hs.132954 PF1; PF2; PF3; Ubiq NM_004562; NM_013988 RNF14/ARA54 Q9UBS8 PF AB022663 9604 NM_183401; Hs.508993 PF1; PF2; PF3; GIUEV NM_183398; NM_183399; NM_183400; NM_004290 RNF144 P50876 PF D79983 9781 NM_014746 Hs.22146 PF1; PF2; PF3 RNF19 Q9NV58 PF AB029316 25897 NM_183419; Hs.292882 PF1; PF2; PF3 NM_015435 RNF31 Q96EP0 PF BC012077 55072 NM_017999 Hs.375217 PF1; PF2; PF3; PUB; UBA; ZFm; NZF UBCE7IP1/TRIAD3 Q9NWF9 PF AF513717 54476 NM_207116; Hs.487458 PF1; PF2; PF3 NM_207111; NM_019011 UBCE7IP3/C20ORF18 Q9BYM8 PF BC015219 10616 NM_031229; Hs.247280 PF1; PF2; PF3; Ubiq; NM_006462; NZF NM_031227; NM_031228 GENSCAN00000039330H GENSCAN00000039330H PF PF1; PF2; PF3 pseudogene

TABLE 16 E3 Ligases, RING-variants type. RING-variants Name UniProt Type Genbank LL Refseq Unigene Domains C20orf43 Q9BY42 RINGvar AF161518 51507 NM_016407 Hs.517134 RFvar FLJ13910 Q9H871 RINGvar AK023972 64795 NM_022780 Hs.75277 CTLH; RFvar; LISH FLJ22318 Q96G75 RINGvar AL713670 64777 NM_022762 Hs.519804 CTLH; RFvar MAEA Q9BQ11 RINGvar BC006470 10296 NM_005882 Hs.139896 CTLH; RFvar; LISH NOSIP Q96FD2 RINGvar BC011249 51070 NM_015953 Hs.7236 RFvar PPIL2 Q13356 RINGvar U37219 23759 NM_148175; Hs.438587 PPI2; RFvar NM_014337; NM_148176 WDR59 Q96PW5 RINGvar AB067510 79726 NM_030581 Hs.280951 RFvar, WD, uev FLJ20323 Q7L551 RINGvar BC005883 54468 NM_019005 Hs.520215 RFvar JFP7 Q96S15 RINGvar AL136863 84219 NM_032259 Hs.459632 RFvar, WD GTF2H2 Q13888 RINGvar AF078847 2966 NM_001515 Hs.191356 RFvar, vWFA

TABLE 17 E3 Ligases, U-box type. U-box Name UniProt Type Genbank LL Refseq Unigene Domains CHIP/STUB1 Q9UNE7 Ubox AF129085 10273 NM_005861 Hs.533771 Ubox; TPR PRP19/SNEV Q9UMS4 Ubox AJ131186 27339 NM_014502 Hs.502705 Ubox; WD UBE4A Q14139 Ubox D50916 9354 NM_004788 Hs.75275 Ubox UBE4B/UFD2 O95155 Ubox AF043117 10277 NM_006048 Hs.386404 Ubox WDSAM1 Q8N6N8 Ubox BC029520 151525 NM_152528 Hs.20848 Ubox; SAM; WD GENSCAN00000045262H GENSCAN00000045262H Ubox Ubox pseudogene

TABLE 18 E3 Ligases, A20-finger type. A20-finger Name UniProt Type Genbank LL Refseq Unigene Domains C15orf16/Cezanne2 Q8TE49 A20 AJ430383 161725 NM_130901 Hs.355236 A20; OTU; UBAlike RABGEF1/RABEX5 Q9UJ41 A20 BC015330 27342 NM_014504 Hs.530053 A20; VPS9_RIN TEX27 Q9H8U3 A20 AK023284 60685 NM_021943 Hs.36959 A20; ZF_UF TNFAIP3/A20 P21580 A20 M59465 7128 NM_006290 Hs.211600 A20; OTU ZA20D1/Cezanne1 Q6GQQ9 A20 AJ293573 56957 NM_020205 Hs.98322 A20; OTU; UBAlike ZA20D2 O76080 A20 AF062346 7763 NM_006007 Hs.406096 A20; ZF_UF ZA20D3/AWP1 Q9GZY3 A20 AF261138 54469 NM_019006 Hs.306329 A20; ZF_UF

TABLE 19 E3 Ligases, PIAS-finger type. PIAS-finger Name UniProt Type Genbank LL Refseq Unigene Domains FLJ32440 Q96MF7 PIAS AK057002 286053 NM_173685 Hs.388297 PIAS PIAS1 O75925 PIAS AF167160 8554 NM_016166 Hs.162458 PIAS; SAF PIAS2/PIASx O75928 PIAS AF077954 9063 NM_004671; Hs.514846 PIAS; SAF NM_173206 PIAS3 Q9Y6X2 PIAS BC001154 10401 NM_006099 Hs.435761 PIAS; SAF PIAS4/PIASy Q8N2W9 PIAS BC029874 51588 NM_015897 Hs.105779 PIAS; SAF RAI17 Q9ULJ6 PIAS AY235683 57178 NM_020338 Hs.193118 PIAS ZIMP7/DKFZp76112123 Q8NF64 PIAS AK090415 83637 NM_174929; Hs.77978 PIAS NM_031449 FLJ13517 Q9H8K2 Artefactual splice variant of RNF138

TABLE 20 E3 Ligases, PHD-finger type. PHD-finger Name UniProt Type Genbank LL Refseq Unigene Domains AIRE O43918 PHD Z97990 326 NM_000658; Hs.129829 PHD; SAND; SPC100 NM_000383; NM_000659 other PHD fingers not assumed to be Ub-ligases

TABLE 21 E3 Ligases, Skp1-like type. Skp1-like Name UniProt Type Genbank LL Refseq Unigene Domains SKP1A P63208 Skp1like U33760 6500 NM_170679; Hs.171626 Skp1 NM_006930 TCEB1/Elongin C Q15369 Skp1like L34587 6921 NM_005648 Hs.546305 Skp1 P78561 Skp1like L49176 Skp1 pseudogene P78389 Skp1like L49173 Skp1 pseudogene RP1-254P11.1- Q9H575 Skp1like AL136318 Skp1 001 pseudogene Fos39347_1 O75863 Skp1like Skp1 pseudogene

TABLE 22 E3 Ligases, Cullin type. Cullin Name UniProt Type Genbank LL Refseq Unigene Domains ANAPC2 Q9UJX6 Cullin BC032503 29882 NM_013366 Hs.533262 CULLIN CUL1 Q13616 Cullin AF062536 8454 NM_003592 Hs.146806 CULLIN CUL2 Q13617 Cullin AF126404 8453 NM_003591 Hs.82919 CULLIN CUL3 Q13618 Cullin AF064087 8452 NM_003590 Hs.372286 CULLIN CUL4A Q13619 Cullin AF077188 8451 NM_003589; Hs.339735 CULLIN NM_001008895 CUL4B Q13620 Cullin AY365125 8450 NM_003588 Hs.102914 CULLIN CUL5 Q93034 Cullin AF327710 8065 NM_003478 Hs.440320 CULLIN CUL7 Q14999 Cullin D38548 9820 NM_014780 Hs.520136 CULLIN; DOC1; HERC2 PARC Q8IWT3 Cullin AJ318215 23113 NM_015089 Hs.485434 ARICT; ARINT; CULLIN; DOC1; HERC2; PF1; PF2; PF3

TABLE 23 E3 Ligases, F-box type. F-box Name UniProt Type Genbank LL Refseq Unigene Domains FBXL1/SKP2 Q13309 Fbox AB050979 6502 NM_032637; Hs.23348 FBOX; LRR NM_005983 FBXL10 Q8NHM5 Fbox AJ459424 84678 NM_001005366; Hs.524800 FBOX; LRR; PHD; JMJC; NM_032590 ZF_DNAMET FBXL11 Q9Y2K7 Fbox AB023221 22992 NM_012308 Hs.124147 FBOX; LRR; PHD; JMJC; ZF_DNAMET FBXL12 Q9NXK8 Fbox AK000195 54850 NM_017703 Hs.12439 FBOX; LRR FBXL13 Q8NEE6 Fbox AK097537 222235 NM_145032 Hs.434284 FBOX; LRR FBXL14 Q8N1E6 Fbox BC028132 144699 NM_152441 Hs.367956 FBOX; LRR FBXL15/FBXO37 Q9H469 Fbox CR592302 none XM_370575 Hs.380081 FBOX; LRR FBXL16 Q8N461 Fbox weak BC036680 146330 NM_153350 Hs.513244 FBOX; LRR; FBXL17/FBXO13 Q9UF56 Fbox AK126722 64839 NM_022824 Hs.112143 FBOX; LRR FBXL18 Q96ME1 Fbox AK057042 80028 NM_024963 Hs.487447 FBOX; LRR FBXL19 Q6PCT2 Fbox AK098777 54620 NM_019085 Hs.152149 FBOX; LRR; PHD; ZF_DNAMET FBXL2 Q9UKC9 Fbox AF176518 25827 NM_012157 Hs.475872 FBOX; LRR FBXL20 Q96IG2 Fbox BC007557 84961 NM_032875 Hs.462946 FBOX; LRR FBXL21 Q9UKT6 Fbox AF129533 26223 NM_012159 Hs.167877 FBOX; LRR FBXL22 Q6P050 Fbox BC065833 283807 NM_203373 Hs.549302 FBOX; LRR FBXL3 Q9UKT7 Fbox AF129532 26224 NM_012158 Hs.508284 FBOX; LRR FBXL4 Q9UKA2 Fbox AF174590 26235 NM_012160 Hs.536850 FBOX; LRR FBXL5 Q9UKA1 Fbox AF176700 26234 NM_012161; Hs.479208 FBOX; LRR NM_033535 FBXL6 Q8N531 Fbox #NAME? 26233 NM_012162; Hs.12271 FBOX; LRR NM_024555 FBXL7 Q9UJT9 Fbox AF199356 23194 NM_012304 Hs.433057 FBOX; LRR FBXL8 Q96CD0 Fbox AK002140 55336 NM_018378 Hs.75486 FBOX; LRR FBXL9/LRRC29 Q8WV35 Fbox BC018785 26231 NM_012163; Hs.461000 FBOX; LRR NM_001004055 FBXO1/CCNF P41002 Fbox BC012349 899 NM_001761 Hs.1973 FBOX; CYCLIN; SEL1 FBXO10 Q9UK96 Fbox AF176705 none XM_291314 none FBOX FBXO11 Q86XK2 Fbox BC012728 80204 NM_012167; Hs.549201 FBOX; ZF_UBR1 NM_025133; NM_018693 FBXO15 Q8NCQ5 Fbox BC029579 201456 NM_152676 Hs.465411 FBOX FBXO16 Q8IX29 Fbox AF453435 157574 NM_172366 Hs.532253 FBOX FBXO17/FBXO26 Q96EF6 Fbox AF386743 115290 NM_148169; Hs.531770 FBOX NM_024907 FBXO18 Q8NFZ0 Fbox AF380349 84893 NM_178150; Hs.498543 FBOX NM_032807 FBXO2 Q9UK22 Fbox BC025233 26232 NM_012168 Hs.132753 FBOX FBXO21 O94952 Fbox AF174601 23014 NM_015002; Hs.159699 FBOX NM_033624 FBXO22 Q8NEZ5 Fbox AY005144 26263 NM_147188; Hs.458959 FBOX NM_012170 FBXO24 O75426 Fbox AL136811 26261 NM_033506; Hs.283764 FBOX; RCC NM_012172 FBXO25 Q8TCJ0 Fbox CR596773 26260 NM_183420; Hs.438454 FBOX NM_183421; NM_012173 FBXO27 Q8NI29 Fbox BC014527 126433 NM_178820 Hs.187461 FBOX FBXO28 Q9NVF7 Fbox AK001628 23219 NM_015176 Hs.64691 FBOX FBXO3 Q9UK99 Fbox AK001943 26273 NM_033406; Hs.406787 FBOX; NM_012175 FBXO30 Q8TB52 Fbox BC024326 84085 NM_032145 Hs.421095 FBOX; ZFt FBXO31/FBXO14 Q5XUX0 Fbox AY736035 79791 NM_024735 Hs.549198 FBOX FBXO32 Q969P5 Fbox AY059629 114907 NM_148177; Hs.403933 FBOX NM_058229 FBXO33 Q7Z6M2 Fbox BC053537 254170 NM_203301 Hs.324342 FBOX FBXO34 Q9NWN3 Fbox BX248268 55030 NM_017943 Hs.525348 FBOX FBXO36 Q8NEA4 Fbox BC033935 130888 NM_174899 Hs.140666 FBOX FBXO38 Q6PIJ6 Fbox BC005849 81545 NM_205836; Hs.483772 FBOX NM_030793 FBXO39 Q8N4B4 Fbox BC034782 162517 NM_153230 Hs.368364 FBOX FBXO4 Q9UKT5 Fbox BC048098 26272 NM_012176; Hs.165575 FBOX NM_033484 FBXO40 Q9UH90 Fbox AF204674 51725 NM_016298 Hs.272564 FBOX; ZFt FBXO41 Q8TF61 Fbox AB075820 none XM_377742 Hs.23158 FBOX FBXO42 Q6P3S6 Fbox BC063864 none XM_048774 Hs.522384 FBOX; KELCH FBXO43 ENSP00000322600 Fbox BC028709 none XM_209918 Hs.339577 FBOX FBXO44 Q9H4M3 Fbox AK055344 93611 NM_183413; Hs.519716 FBOX NM_183412; NM_033182 FBXO45 ENSP00000310332 Fbox AK025697 none XM_117294 Hs.518526 FBOX; SPRY FBXO46 Q6PJ61 Fbox BC021978 none XM_371179 Hs.128702 FBOX FBXO5 Q9UKT4 Fbox AF129535 26271 NM_012177 Hs.520506 FBOX FBXO6 Q9NRD1 Fbox AF233223 26270 NM_018438 Hs.464419 FBOX FBXO7 Q9Y3I1 Fbox AF233225 25793 NM_012179 Hs.5912 FBOX; Ubiq FBXO8 Q9NRD0 Fbox AF233224 26269 NM_012180 Hs.76917 FBOX; Sec7 FBXO9 Q9UK97 Fbox AF176704 26268 NM_033481; Hs.216653 FBOX NM_033480; NM_012347 FBXW1/BTRC Q9Y297 Fbox AF101784 8945 NM_033637; Hs.500812 FBOX; WD NM_003939 FBXW10 Q5XX13 Fbox AY729024 10517 NM_031456 Hs.310275 FBOX; WD FBXW11 Q9UKB1 Fbox AF176022 23291 NM_033645; Hs.484138 FBOX; WD NM_033644; NM_012300 FBXW12/FBXO35 Q6X9E4 Fbox AY247969 285231 NM_207102 Hs.288793 FBOX FBXW2 Q9UKT8 Fbox BC018738 26190 NM_012164 Hs.494985 FBOX; WD FBXW3 Q9UKB7 Fbox AF174606 none none none FBOX; WD FBXW4/SHFM3 P57775 Fbox AF281859 6468 NM_022039 Hs.500822 FBOX; WD FBXW5 Q969U6 Fbox BC014297 54461 NM_018998; Hs.522507 FBOX; WD NM_178226; NM_178225 FBXW7/FBXW6 Q969H0 Fbox AF411971 55294 NM_033632; Hs.519029 FBOX; WD NM_018315 FBXW8/FBXO29 Q8N3Y1 Fbox BC037296 26259 NM_153348; Hs.435466 FBOX; WD NM_012174 FBXW9 Q5XUX1 Fbox AY736034 84261 NM_032301 Hs.515154 FBOX; WD FBXW15 Q8BI39 Fbox AK087669 FBOX FBXW16 Q8BIU6 Fbox AK085629 FBOX FBXW17 Q8CFE8 Fbox BC040428 FBOX FBXW19 Q8C2W8 Fbox AK087808 FBOX FBXO12/FBXW14 Q8C2Y5 Fbox AK087709 FBOX FBXO19 and FBXW13 do not exist? FBXO20 and FBXO23 clearly contain no Fbox

TABLE 24 E3 Ligases, SOCS-box type. SOCS-box Name UniProt Type Genbank LL Refseq Unigene Domains TULP4 Q9NRJ4 SOCS AF219946 56995 NM_020245; Hs.486993 SOCS; TUBBY; WD NM_001007466 WSB1 Q9Y6I7 SOCS AF072880 26118 NM_015626; Hs.446017 SOCS; WD NM_134264; NM_134265 WSB2 Q9NYS7 SOCS AF229181 55884 NM_018639 Hs.506985 SOCS; WD ASB1 Q9Y576 SOCS AF156777 51665 NM_016114 Hs.516788 SOCS; ANK ASB2 Q96Q27 SOCS AB056723 51676 NM_016150 Hs.510327 SOCS; ANK ASB3 Q9Y575 SOCS AF156778 51130 NM_145863; Hs.40763 SOCS; ANK NM_016115 ASB4 Q9Y574 SOCS AF156779 51666 NM_016116; Hs.127735 SOCS; ANK NM_145872 ASB5 Q8WWX0 SOCS AY057053 140458 NM_080874 Hs.352364 SOCS; ANK ASB6 Q9NWX5 SOCS AK000555 140459 NM_177999; Hs.125037 SOCS; ANK NM_017873 ASB7 Q9H672 SOCS AF451994 140460 NM_198243; Hs.31845 SOCS; ANK NM_024708 ASB8 Q9H765 SOCS AK024908 140461 NM_024095 Hs.432699 SOCS; ANK ASB9 Q96DX5 SOCS BC013172 140462 NM_024087 Hs.19404 SOCS; ANK ASB10 Q8WXI3 SOCS AF417920 136371 NM_080871 Hs.304273 SOCS; ANK ASB11 Q8WXH4 SOCS AF425642 140456 NM_080873 Hs.352183 SOCS; ANK ASB12 Q8WXK4 SOCS AF403030 142689 NM_130388 Hs.56281 SOCS; ANK ASB13 Q8WXK3 SOCS CR457302 79754 NM_024701 Hs.445899 SOCS; ANK ASB14 Q8WXK2 SOCS AF403032 142686 NM_130387 Hs.435978 SOCS; ANK ASB15 Q8WXK1 SOCS AK125360 142685 NM_080928 Hs.97709 SOCS; ANK ASB16 Q96NS5 SOCS AK054727 92591 NM_080863 Hs.534517 SOCS; ANK ASB17 Q8WXJ9 SOCS AK098606 127247 NM_080868 Hs.125423 SOCS; ANK RAB40A Q8WXH6 SOCS AF422143 142684 NM_080879 Hs.549244 SOCS; GTPase RAB40B Q12829 SOCS U05227 10966 NM_006822 Hs.484068 SOCS; GTPase RAB40C Q96S21 SOCS BC028696 57799 NM_021168 Hs.459630 SOCS; GTPase SOCS1 O15524 SOCS AB005043 8651 NM_003745 Hs.50640 SOCS; SH2 SOCS2 O14508 SOCS AB004903 8835 NM_003877 Hs.485572 SOCS; SH2 SOCS3 O14543 SOCS AB006967 9021 NM_003955 Hs.527973 SOCS; SH2 SOCS4 Q8WXH5 SOCS AF424815 122809 NM_199421; Hs.532610 SOCS; SH2 NM_080867 SOCS5 O75159 SOCS AF073958 9655 NM_014011; Hs.468426 SOCS; SH2 NM_144949 SOCS6 O14544 SOCS AB006968 9306 NM_004232 Hs.44439 SOCS; SH2 SOCS7 O14512 SOCS AB005216 30837 NM_014598 Hs.514132 SOCS; SH2 CISH Q9NSE2 SOCS D83532 1154 NM_013324; Hs.8257 SOCS; SH2 NM_145071 SSB1 Q96BD6 SOCS BC015711 80176 NM_025106 Hs.8261 SOCS; SPRY SSB3 Q96IE6 SOCS BC007588 90864 NM_080861 Hs.7247 SOCS; SPRY SSB4 Q96A44 SOCS AK056367 92369 NM_080862 Hs.477752 SOCS; SPRY GRCC9/SSB2 Q99619 SOCS AF403027 84727 NM_032641 Hs.479856 SOCS; SPRY LOC196394 Q8IY45 SOCS BC037897 196394 NM_207337 Hs.131393 SOCS; LRR TCEB3 Q14241 SOCS L47345 6924 NM_003198 Hs.549069 SOCS; TFIIS TCEB3B Q8IYF1 SOCS BC036022 51224 NM_016427 Hs.375035 SOCS; TFIIS TCEB3C Q8NG57 SOCS AB076840 162699 NM_145653 Hs.515381 SOCS; TFIIS NEURL2 Q9BR09 SOCS AK054821 140825 NM_080749 Hs.517094 SOCS; Neuralized VHL P40337 SOCS L15409 7428 NM_000551; Hs.421597 SOCS; VHL_HYPRO NM_198156

TABLE 25 E3 Ligases, BTB type. BTB Name UniProt Type Genbank LL Refseq Unigene Domains ABTB1 Q969K4 BTB AB053325 80325 NM_172028; Hs.107812 ANK; BTB NM_172027; NM_032548 ABTB2 Q8N961 BTB AK095632 25841 NM_145804 Hs.23361 ANK; BTB ANKFY1 Q9P2R3 BTB AK025483 51479 NM_016376; Hs.513875 ANK; FYVE; NM_020740 BTB APM-1 O73453 BTB Y14591 none XM_113971 Hs.515388 BTB; ZFb BACH1 O14867 BTB AB002803 571 NM_001186; Hs.154276 bZIP; BTB NM_206866 BACH2 Q9BYV9 BTB AF357835 60468 NM_021813 Hs.269764 bZIP; BTB BCL6/ZBTB27 P41182 BTB Z21943 604 NM_001706; Hs.478588 BTB; ZFb NM_138931 BCL6B/ZBTB28 Q8N143 BTB AB076580 255877 NM_181844 Hs.22575 BTB; ZFb BKLHD5/KIAA1900 Q96NJ5 BTB AK055292 114792 NM_052904 Hs.45056 BTB; KELCH BTBD1 Q9H0C5 BTB AL136853 53339 NM_025238 Hs.459149 BTB BTBD11/FLJ42845 Q6ZV99 BTB AK124835 121551 NM_152322 Hs.271272 ANK; BTB BTBD12 Q8IY92 BTB BC036335 none none Hs.513297 BTB BTBD14A Q96BF6 BTB BC015649 138151 NM_144653 Hs.112895 BTB BTBD14B Q96RE7 BTB AF395817 112939 NM_052876 Hs.531614 BTB BTBD2 Q9BX70 BTB AF355797 55643 NM_017797 Hs.465543 BTB BTBD3 Q9Y2F9 BTB AB023169 22903 NM_014962; Hs.244590 BTB NM_181443 BTBD4 Q86UZ6 BTB AK131482 140685 NM_025224 Hs.551578 BTB; ZFb BTBD5 Q9NXS3 BTB BC012473 54813 NM_017658 Hs.174682 BTB; KELCH BTBD6 Q96KE9 BTB AF353674 90135 NM_033271 Hs.7367 BTB BTBD7/KIAA1525 Q9P203 BTB AB040958 55727 NM_018167; Hs.525549 BTB NM_001002860 BTBD8 Q5XKL5 BTB BC013922 284697 NM_183242 Hs.383108 BTB BTBD9 Q96Q07 BTB AB067467 114781 NM_152733 Hs.116233 BTB C10orf87 Q96LN0 BTB AK058088 118663 NM_144587 Hs.422466 BTB C16orf44 Q8N4N3 BTB BC033821 79786 NM_024731 Hs.222731 BTB; KELCH CCIN Q13939 BTB AF333334 881 NM_005893 Hs.115460 BTB; KELCH CHC1L O95199 BTB AF060219 1102 NM_001268 Hs.25447 BTB; RCC DRE1 Q6TFL4 BTB AY422472 54800 NM_017644 Hs.407709 BTB; KELCH ENC1 O14682 BTB AF059611 8507 NM_003633 Hs.104925 BTB; KELCH ENC2/DKFZp434K111 Q9H0H3 BTB AL136796 64410 NM_022480 Hs.498371 BTB; KELCH FLJ11078 Q8TAP0 BTB BC026319 55295 NM_018316 Hs.250632 BTB; KELCH FLJ34960 Q8N239 BTB AK092279 257240 NM_153270 Hs.448572 BTB; KELCH FLJ35036 Q8NAP3 BTB AK092355 none XM_172341 Hs.518301 ZFb FLJ43374 Q6ZUS1 BTB AK125364 377007 NM_198582 Hs.199821 BTB FRBZ1 Q8IZ99 BTB AY163816 360023 NM_194314 Hs.529439 BTB; ZFb GAN/KLHL16 Q9H2C0 BTB AF291673 8139 NM_022041 Hs.112569 BTB; KELCH GENSCAN00000050486H GENSCAN00000050486H BTB GENSCAN00000050486 none XM_371078 Hs.211870 BTB GMCL1/GCL Q96IK5 BTB BC007420 64395 NM_178439 Hs.293971 BTB GMCL1L Q8NEA9 BTB BC033886 64396 NM_022471 Hs.484313 BTB HIC1/ZBTB29 Q14526 BTB BC030208 3090 NM_006497 Hs.72956 BTB; ZFb HIC2/ZBTB30 Q96JB3 BTB CR456377 23119 NM_015094 Hs.517434 BTB; ZFb HKR3 P10074 BTB BC013573 3104 NM_005341 Hs.502330 BTB; ZFb HSPC063 Q8NCP5 BTB BC030580 29068 NM_014155 Hs.178499 BTB; ZFb IBTK Q9P2D0 BTB AB037838 25998 NM_015525 Hs.306425 ANK; BTB; RCC IPP Q9Y573 BTB AF156857 3652 NM_005897 Hs.157180 BTB; KELCH IVNS1ABP Q9Y6Y0 BTB AB020657 10625 NM_016389; Hs.497183 BTB; KELCH NM_006469 KBTBD10 O60662 BTB AF333387 10324 NM_006063 Hs.50550 BTB; KELCH KBTBD2 Q8IY47 BTB BC032367 25948 NM_015483 Hs.372541 BTB; KELCH KBTBD3 Q8NAB2 BTB BX640672 143879 NM_198439; Hs.101949 BTB; KELCH NM_152433 KBTBD4 Q9NVX7 BTB AK001749 55709 NM_018095; Hs.440695 BTB; KELCH NM_016506 KBTBD5 Q86SI1 BTB AY177390 131377 NM_152393 Hs.350288 BTB; KELCH KBTBD6 Q86V97 BTB BC000560 89890 NM_152903 Hs.534040 BTB; KELCH KBTBD7 Q8WVZ9 BTB BC022033 84078 NM_032138 Hs.63841 BTB; KELCH KBTBD9 Q96CT2 BTB BC013982 none XM_496546 Hs.130593 BTB; KELCH KEAP1/KLHL19 Q14145 BTB D50922 9817 NM_203500; Hs.465870 BTB; KELCH NM_012289 KELCHL Q96B68 BTB BC015923 84861 NM_032775 Hs.517419 BTB; KELCH KIAA0352 O15060 BTB AB002350 9880 NM_014830 Hs.131212 BTB; ZFb KIAA0478 Q9NUA8 BTB AK091019 9923 NM_014870 Hs.528723 BTB; ZFb KIAA0711 O94819 BTB AB018254 9920 NM_014867 Hs.5333 BTB; KELCH KIAA1340 Q9P2K6 BTB AK095405 57542 NM_020782 Hs.505104 BTB; KELCH KLEIP/KLHL20 Q9Y2M5 BTB AB026190 27252 NM_014458 Hs.495035 BTB; KELCH KLHL1 Q9NR64 BTB AF252283 57626 NM_020866 Hs.508201 BTB; KELCH KLHL10 Q6JEL2 BTB AY495339 317719 NM_152467 Hs.127510 BTB; KELCH KLHL11 Q9NVR0 BTB AK001434 55175 NM_018143 Hs.13268 BTB; KELCH KLHL12 Q9HBX5 BTB AF190900 59349 NM_021633 Hs.282878 BTB; KELCH KLHL13 Q9P2N7 BTB AB037730 90293 NM_033495 Hs.348262 BTB; KELCH KLHL14 Q9P2G3 BTB AB037805 57565 NM_020805 Hs.446164 BTB; KELCH KLHL15 Q96M94 BTB AK057298 none XM_040383 Hs.495854 BTB; KELCH KLHL17 Q6TDP4 BTB AY423763 339451 NM_198317 Hs.109212 BTB; KELCH KLHL18 O94889 BTB AB062478 23276 NM_025010 Hs.517946 BTB; KELCH KLHL2 O95198 BTB BC036468 11275 NM_007246 Hs.388668 BTB; KELCH KLHL21 Q9UJP4 BTB AB007938 9903 NM_014851 Hs.7764 BTB; KELCH KLHL3 Q9UH77 BTB AB032955 26249 NM_017415 Hs.434434 BTB; KELCH KLHL4 Q9C0H6 BTB AF284765 56062 NM_019117; Hs.49075 BTB; KELCH NM_057162 KLHL5 Q96PQ7 BTB BC053860 51088 NM_199039; Hs.272251 BTB; KELCH NM_001007075 KLHL6 Q8WZ60 BTB AK097125 89857 NM_130446 Hs.333181 BTB; KELCH KLHL7 Q8IXQ5 BTB BC039585 55975 NM_018846 Hs.385861 BTB; KELCH KLHL8 Q9P2G9 BTB BC041384 57563 NM_020803 Hs.546415 BTB; KELCH KLHL9 Q9P2J3 BTB AB037775 55958 NM_018847 Hs.522029 BTB; KELCH LGALS3BP Q08380 BTB L13210 3959 NM_005567 Hs.514535 SRCR; BTB LOC149478 GENSCAN00000058813H BTB AK056150 none XM_378860 Hs.421430 BTB LOC339745 Q6IQ16 BTB BC071613 339745 NM_001001664 Hs.333297 TRAF; BTB LZTR1 Q8N653 BTB BC026214 8216 NM_006767 Hs.78788 BTB; KELCH MGC2610 Q8NBE8 BTB AK090653 151230 NM_144711 Hs.470549 BTB; KELCH MYNN/ZBTB31 Q86Z12 BTB AB079777 55892 NM_018657 Hs.507025 BTB; ZFb OTTHUMP00000016633 Q9H511 BTB AK091177 401265 NM_001003760 Hs.376697 BTB; KELCH RCBTB1 Q8NDN9 BTB AL833821 55213 NM_018191 Hs.508021 BTB; RCC RHOBTB1 O94844 BTB AB018283 9886 NM_198225; Hs.148670 GTPase; BTB NM_014836 RHOBTB2 Q9BYZ6 BTB AB018260 23221 NM_015178 Hs.372688 GTPase; BTB RHOBTB3 O94955 BTB AB020685 22836 NM_014899 Hs.445030 BTB SPOP O43791 BTB AJ000644 8405 NM_003563; Hs.463382 TRAF; BTB NM_001007226; NM_001007227; NM_001007230; NM_001007229; NM_001007228 TA- Q96JI5 BTB AB058745 84541 NM_032505 Hs.116665 BTB; KELCH KRP/KIAA1842 TZFP/FAZF Q9Y2Y4 BTB AF130255 27033 NM_014383 Hs.99430 BTB; ZFb ZBTB1 Q9Y2K1 BTB BX248777 22890 NM_014950 Hs.400802 BTB; ZFb ZBTB10 Q96DT7 BTB AJ319673 65986 NM_023929 Hs.205742 BTB; ZFb ZBTB11 O95625 BTB U69274 27107 NM_014415 Hs.301956 BTB; ZFb ZBTB12 Q9Y330 BTB AF134726 221527 NM_181842 Hs.234027 BTB; ZFb ZBTB16 Q05516 BTB Z19002 7704 NM_006006 Hs.171299 BTB; ZFb ZBTB17 Q13105 BTB Y09723 7709 NM_003443 Hs.433764 BTB; ZFb ZBTB2 Q8N680 BTB BC020172 57621 NM_020861 Hs.520073 BTB; ZFb ZBTB20 Q9HC78 BTB AF139460 26137 NM_015642 Hs.477166 BTB; ZFb ZBTB24 O43167 BTB AB007901 9841 NM_014797 Hs.409876 BTB; ZFb ZBTB26 Q9HCK0 BTB AF323460 57684 NM_020924 Hs.5638 BTB; ZFb ZBTB3 Q9H5J0 BTB AK027045 79842 NM_024784 Hs.147554 BTB; ZFb ZBTB33/kaiso Q86T24 BTB AL833604 10009 NM_006777 Hs.143604 BTB; ZFb ZBTB34 Q8NCN2 BTB AB082524 none none Hs.177633 BTB; ZFb ZBTB37 Q5TC79 BTB BC003116 84614 NM_032522 Hs.535229 BTB; ZFb ZBTB4 Q9P1Z0 BTB AY302699 57659 NM_020899 Hs.35096 BTB; ZFb ZBTB5 O15062 BTB AB002352 9925 NM_014872 Hs.161276 BTB; ZFb ZBTB7A O95365 BTB AF097916 51341 NM_015898 Hs.465623 BTB; ZFb ZBTB8a Q8NAP8 BTB AK092326 127557 NM_144621 Hs.546479 BTB; ZFb ZBTB8b Q96BR9 BTB BC015239 127557 NM_144621 Hs.546479 BTB; ZFb ZBTB9 Q96C00 BTB BC014978 221504 NM_152735 Hs.528028 BTB; ZFb ZFP161/ZBTB14 O43829 BTB Y12726 7541 NM_003409 Hs.156000 BTB; ZFb ZFP67/ZBTB7B/ O15156 BTB BC012070 51043 NM_015872 Hs.549155 BTB; ZFb ZBTB15 ZNF131 P52739 BTB AK057343 none none Hs.97845 BTB; ZFb ZNF238/ZBTB18 Q99592 BTB X95072 10472 NM_205768; Hs.69997 BTB; ZFb NM_006352 ZNF278/ZBTB19 Q9HBE1 BTB AF254085 23598 NM_032051; Hs.517557 BTB; ZFb NM_014323; NM_032052; NM_032050 ZNF295/ZBTB21 Q9ULJ3 BTB AB033053 49854 NM_020727 Hs.434947 BTB; ZFb ZNF297/ZBTB22A O15209 BTB Z97184 9278 NM_005453 Hs.206770 BTB; ZFb ZNF297B/ZBTB22B O43298 BTB AB007874 23099 NM_014007 Hs.355581 BTB; ZFb ZNF336/ZBTB23 Q9H116 BTB AB100265 64412 NM_022482 Hs.28921 BTB; ZFb ZNF46/ZBTB25 P24278 BTB X16576 7597 NM_006977 Hs.164347 BTB; ZFb ZNF482/ZBTB6 Q15916 BTB X82018 10773 NM_006626 Hs.3053 BTB; ZFb ZNF499 Q96K62 BTB AK027392 84878 NM_032792 Hs.515662 BTB; ZFb ZNF509/FLJ45653 Q6ZSB9 BTB AK127560 166793 NM_145291 Hs.419997 BTB; ZFb ZNF651/FLJ45122 Q6ZSY6 BTB AK127065 92999 NM_145166 Hs.409561 BTB; ZFb

TABLE 26 E3 Ligases, DDB1-like type. DDB1-like Name UniProt Type Genbank LL Refseq Unigene Domains CPSF1 Q10570 DDB1 BC017232 29894 NM_013291 Hs.493202 DDB1 DDB1 Q16531 DDB1 U18299 1642 NM_001923 Hs.290758 DDB1 SF3B3 Q15393 DDB1 AJ001443 23450 NM_012426 Hs.514435 DDB1

TABLE 27 E3 Ligases, APC/Cyclosome type. APC/Cyclosome Name UniProt Type Genbank LL Refseq Unigene Domains ANAPC1 Q9H1A4 APC AJ278357 64682 NM_022662 Hs.436527 PC-rep ANAPC2 Q9UJX6 APC BC032503 29882 NM_013366 Hs.533262 CULLIN CDC16 Q13042 APC AL540490 8881 NM_003903 Hs.374127 TPR CDC27 P30260 APC AU135593 996 NM_001256 Hs.463295 TPR ANAPC5 Q9UJX4 APC BC006301 51433 NM_016237 Hs.7101 ANAPC4 Q9UJX5 APC AL353932 29945 NM_013367 Hs.152173 CDC23 Q9UJX2 APC AB011472 8697 NM_004661 Hs.153546 TPR ANAPC7 Q9UJX3 APC AF191340 51434 NM_016238 Hs.529280 ANAPC10 Q9UM13 APC AL080090 10393 NM_014885 Hs.480876 ANAPC11 Q9NYG5 APC BC000607 51529 NM_001002249; Hs.534456 RF NM_016476; NM_001002246; NM_001002248; NM_001002244; NM_001002247; NM_001002245 CDC26 Q8NHZ8 APC BC042534 246184 NM_139286 Hs.530284 CDC20 Q12834 APC U05340 991 NM_001255 Hs.524947 WD FZR1 Q9UM11 APC AB033068 51343 NM_016263 Hs.413133 WD

A particular E3 ubiquitin ligase is von Hippel-Lindau (VHL) tumor suppressor, the substrate recognition subunit of the E3 ligase complex VCB, which also consists of elongins B and C, Cul2 and Rbxl. The primary substrate of VHL is Hypoxia Inducible Factor 1α (HIF-1α), a transcription factor that upregulates genes such as the pro-angiogenic growth factor VEGF and the red blood cell inducing cytokine erythropoietin in response to low oxygen levels. Compounds that bind VHL may be hydroxyproline compounds such as those disclosed in WO2013/106643, and other compounds described in US2016/0045607, WO2014187777, US20140356322, and U.S. Pat. No. 9,249,153.

Another particular E3 ubiquitin ligase is MDM2. Examples of small molecular binding compounds for MDM2 include the “nutlin” compounds, e.g., nutlin 3a and nutlin 3, having the structure:

Also included as MDM2 binding compounds are those described in WO2012/121361; WO2014/038606; WO2010/082612; WO2014/044401; WO2009/151069; WO2008/072655; WO2014/100065; WO2014/100071; WO2014/123882; WO2014/120748; WO2013/096150; WO2015/161032; WO2012/155066; WO2012/065022; WO2011/060049; WO2008/036168; WO2006/091646; WO2012/155066; WO2012/065022; WO2011/153509; WO2013/049250; WO2014/151863; WO2014/130470; WO2014/134207; WO2014/200937; WO2015/070224; WO2015/158648; WO2014/082889; WO2013/178570; WO2013/135648; WO2012/116989; WO2012/076513; WO2012/038307; WO2012/034954; WO2012/022707; WO2012/007409; WO2011/134925; WO2011/098398; WO2011/101297; WO2011/067185; WO2011/061139; WO2011/045257; WO2010/121995; WO2010/091979; WO2010/094622; WO2010/084097; WO2009/115425; WO2009/080488; WO2009/077357; WO2009/047161A1; WO2008/141975A1; WO2008/141917A1; WO2008/125487A1; WO2008/034736A2; WO2008/055812A1; WO2007/104714A1; WO2007/104664A1; WO2007/082805A1; WO2007/063013A1; WO2006/136606A2; WO2006/097261A1; WO2005/123691A1; WO2005/110996A1; WO2005/003097A1; WO2005/002575A1; WO2004/080460A1; WO2003/051360A1; WO2003/051359A1; WO1998/001467; WO2011/023677; WO2011/076786; WO2012/066095; WO2012/175487; WO2012/175520; WO2012/176123; WO2013/080141; WO2013/111105; WO2013/175417; WO2014/115080; WO2014/115077; WO2014/191896; WO2014/198266; WO2016/028391A9; WO2016/028391A2; WO2016/026937; WO2016/001376; WO2015/189799; WO2015/155332A1; WO2015/004610A8; WO2013/105037A1; WO2012/155066A3; WO2012/155066A2; WO2012/033525A3; WO2012/047587A2; WO2012/033525A2; WO2011/106650A3; WO2011/106650A2; WO2011/005219A1; WO2010/058819A1; WO2010/028862A1; WO2009/037343A1; WO2009/037308A1; WO2008/130614A3; WO2009/019274A1; WO2008/130614A2; WO2008/106507A3; WO2008/106507A2; WO2007/107545A1; WO2007/107543A1; WO2006032631A1; WO2000/015657A1; WO1998/001467A2; WO1997/009343A3; WO1997/009343A2; W01996/002642A1; US2007/0129416; Med. Chem. Lett, 2013, 4, 466-469; J. Med. Chem., 2015, 58, 1038-1052; Bioorg. Med. Chem. Lett. 25 (2015) 3621-3625; Bioorg. Med. Chem. Lett. 16 (2006) 3310-3314. Further specific examples of small molecular binding compounds for MDM2 contemplated for use with a PAC include RG7112, RG7388, MI 773/SAR 405838, AMG 232, DS-3032b, R06839921, R05045337, R05503781, Idasanutlin, CGM-097, MK-8242

Another particular E3 ubiquitin ligase is X-linked inhibitor of apoptosis (XIAP). XIAP is a protein that stops apoptotic cell death. Deregulation of XIAP has been associated with cancer, neurodegenerative disorders and autoimmunity. In the development of lung cancer, the overexpression of XIAP inhibits caspases. In developing prostate cancer, XIAP is one of four IAPs overexpressed in the prostatic epithelium. Mutations in the XIAP gene can result in a severe and rare type of inflammatory bowel disease. Defects in the XIAP gene can also result in an extremely rare condition called X-linked lymphoproliferative disease. Degradation of XIAP can enhance apoptosis by preventing XIAP from binding to caspases. This allows normal caspase activity to proceed.

Examples of small molecular binding compounds for XIAP include compounds disclosed in U.S. Pat. No. 9,096,544; WO 2015187998; WO 2015071393; U.S. Pat. Nos. 9,278,978; 9,249,151; US 20160024055; US 20150307499; US 20140135270; US 20150284427; US 20150259359; US 20150266879; US 20150246882; US 20150252072; US 20150225449; U.S. Pat. No. 8,883,771, J. Med. Chem., 2015, 58(16) 6574-6588 and Small-molecule Pan-IAP Antagonists: A Patent Review (2010) Expert Opin Ther Pat; 20: 251-67 (Flygare & Fairbrother). Specific compounds include all the tetrahydro-benzodiazinone compounds of the following formula:

as disclosed in WO 2015/071393. Other small molecular binding compounds for XIAP include AEG35156, Embelin, TWX006 and TWX024. When an XIAP binding moeity is used as part of a PROTAC, the XIAP binding moiety can bind to the BIR2 or BIR3 domain of XIAP or both.

Another particular E3 ubiquitin ligase is cereblon. Cereblon is a protein that forms an E3 ubiquitin ligase complex with damaged DNA binding protein 1 (DDB1), Cullin-4A (CUL4A), and regulator of cullins 1 (ROC1). This complex ubiquitinates a number of other proteins. Cereblon ubquitination of target proteins results in increased levels of fibroblast growth factor 8 (FGF8) and fibroblast growth factor 10 (FGF10). FGF8 in turn regulates a number of developmental processes, such as limb and auditory vesicle formation. In the absence of cereblon, DDB1 forms a complex with DDB2 that functions as a DNA damage-binding protein.

Thalidomide, lenalidomide, pomalidomide and analogs thereof are known to bind to cereblon. The crystal structure of cereblon with thalidomide and derivative compounds are described in US2015/0374678. Other small molecule compounds that bind to cereblon are also known, e.g., the compounds disclosed as an in US2016/0058872 and US2015/0291562. Further, phthalimide conjugation with binders, such as antagonists, of BET bromodomains can provide PROTACs with highly-selective cereblon-dependent BET protein degradation. Winter et al., Science, Jun. 19, 2015, p. 1376. Such PROTACs can be conjugated to an antibody as described herein to form a PAC.

b. Protein Binding Group (PB)

The PB component is a group which binds to a target protein intended to be degraded. The term “protein” includes oligopeptides and polypeptide sequences of sufficient length that they can bind to a PB group. Any protein in a eukaryotic system or a microbial system, including a virus, bacteria or fungus, as otherwise described herein, are targets for ubiquitination mediated by the compounds described herein.

PB groups include, for example, any moiety which binds to a protein specifically (binds to a target protein) and includes the following non-limiting examples of small molecule target protein moieties: Hsp90 inhibitors, kinase inhibitors, MDM2 inhibitors, compounds targeting Human BET Bromodomain-containing proteins, HDAC inhibitors, human lysine methyltransferase inhibitors, angiogenesis inhibitors, immunosuppressive compounds, and compounds targeting the aryl hydrocarbon receptor (AHR), among numerous others. The compositions described below exemplify some of the members of these nine types of small molecule target protein binding moieties. Such small molecule target protein binding moieties also include pharmaceutically acceptable salts, enantiomers, solvates and polymorphs of these compositions, as well as other small molecules that may target a protein of interest.

In general, target proteins may include, for example, structural proteins, receptors, enzymes, cell surface proteins, proteins pertinent to the integrated function of a cell, including proteins involved in catalytic activity, aromatase activity, motor activity, helicase activity, metabolic processes (anabolism and catrabolism), antioxidant activity, proteolysis, biosynthesis, proteins with kinase activity, oxidoreductase activity, transferase activity, hydrolase activity, lyase activity, isomerase activity, ligase activity, enzyme regulator activity, signal transducer activity, structural molecule activity, binding activity (protein, lipid carbohydrate), receptor activity, cell motility, membrane fusion, cell communication, regulation of biological processes, development, cell differentiation, response to stimulus, behavioral proteins, cell adhesion proteins, proteins involved in cell death, proteins involved in transport (including protein transporter activity, nuclear transport, ion transporter activity, channel transporter activity, carrier activity, permease activity, secretion activity, electron transporter activity, pathogenesis, chaperone regulator activity, nucleic acid binding activity, transcription regulator activity, extracellular organization and biogenesis activity, translation regulator activity. Proteins of interest can include proteins from eurkaryotes and prokaryotes including humans as targets for drug therapy, other animals, including domesticated animals, microbials for the determination of targets for antibiotics and other antimicrobials and plants, and even viruses, among numerous others.

Accordingly, the PB component of a PAC is any peptide or small molecule that bind protein targets such as FoxOl, HDAC, DP-1, E2F, ABL, AMPK, BRK, BRSK I, BRSK2, BTK, CAMKK1, CAMKK alpha, CAMKK beta, Rb, Suv39HI, SCF, p19INK4D, GSK-3, pi 8 INK4, myc, cyclin E, CDK2, CDK9, CDG4/6, Cycline D, p16 INK4A, cdc25A, BMI1, SCF, Akt, CHK1/2, C 1 delta, CK1 gamma, C 2, CLK2, CSK, DDR2, DYRKIA/2/3, EF2K, EPH-A2/A4/B1/B2/B3/B4, EIF2A 3, Smad2, Smad3, Smad4, Smad7, p53, p21 Cipl, PAX, Fyn, CAS, C3G, SOS, Tal, Raptor, RACK-1, CRK, Rapl, Rac, KRas, NRas, HRas, GRB2, FAK, PI3K, spred, Spry, mTOR, MPK, LKB1, PAK 1/2/4/5/6, PDGFRA, PYK2, Src, SRPK1, PLC, PKC, PKA, PKB alpha/beta, PKC alpha/gamma/zeta, PKD, PLK1, PRAK, PRK2, WAVE-2, TSC2, DAPK1, BAD, IMP, C-TAK1, TAK1, TAO1, TBK1, TESK1, TGFBR1, TIE2, TLK1, TrkA, TSSK1, TTBK1/2, TTK, Tpl2/cotl, MEK1, MEK2, PLDL Erk1, Erk2, Erk5, Erk8, p90RSK, PEA-15, SRF, p27 KIP1, TIF 1a, HMGN1, ER81, MKP-3, c-Fos, FGF-R1, GCK, GSK3 beta, HER4, HIPK1/2/3, IGF-1R, cdc25, UBF, LAMTOR2, Statl, StaO, CREB, JAK, Src, PTEN, NF-kappaB, HECTH9, Bax, HSP70, HSP90, Apaf-1, Cyto c, BCL-2, Bcl-xL, Smac, XIAP, Caspase-9, Caspase-3, Caspase-6, Caspase-7, CDC37, TAB, IKK, TRADD, TRAF2, R1P1, FLIP, TAK1, JNK1/2/3, Lck, A-Raf, B-Raf, C-Raf, MOS, MLK1/3, MN 1/2, MSK1, MST2/3/4, MPSK1, MEKK1, ME K4, MEL, ASK1, MINK1, MKK 1/2/3/4/6/7, NE 2a/6/7, NUAK1, OSR1, SAP, STK33, Syk, Lyn, PDK1, PHK, PIM 1/2/3, Ataxin-1, mTORC1, MDM2, p21 Wafl, Cyclin D1, Lamin A, Tpl2, Myc, catenin, Wnt, IKK-beta, IKK-gamma, IKK-alpha, IKK-epsilon, ELK, p65RelA, IRAKI, IRA 2, IRAK4, IRR, FADD, TRAF6, TRAF3, MKK3, MKK6, ROCK2, RSK1/2, SGK 1, SmMLCK, SIK2/3, ULK1/2, VEGFR1, WNK 1, YES1, ZAP70, MAP4K3, MAP4K5, MAPK1b, MAPKAP-K2 K3, p38 alpha/beta/delta/gamma MAPK, Aurora A, Aurora B, Aurora C, MCAK, Clip, MAPKAPK, FAK, MARK 1/2/3/4, Mucl, SHC, CXCR4, Gap-1, Myc, beta-catenin/TCF, Cbl, BRM, Mcl-1, BRD2, BRD3, BRD4, AR, RAS, ErbB3, EGFR, IRE1, HPK1, RIPK2, and ERα, including all variants, mutations, splice variants, indels and fusions of these target proteins listed.

Specific PB groups are small molecule compounds such as those disclosed in US2014/0356322 and US2016/0045607. Compounds disclosed therein can be classified as Heat Shock Protein 90 (HSP90) inhibitors, Kinase and Phosphatase inhibitors, MDM2 inhibitors, HDAC inhibitors, Human Lysine Methyltransferase Inhibitors, Angiogenesis inhibitors, Immunosuppressive compounds, as well as compounds that target: Human BET Bromodomain-containing proteins, the aryl hydrocarbon receptor (AHR), REF receptor kinase, FKBP, Androgen Receptor (AR), Estrogen receptor (ER), Thyroid Hormone Receptor, HIV Protease, HIV Integrase, HCV Protease, Acyl-protein Thioesterase-1 and -2 (APT1 and APT2).

c. Linker L2

The E3LB and PB groups of PROTACs as described herein can be connected with linker (L2). In certain embodiments, the linker group L2 is a group comprising one or more covalently connected structural units of A (e.g., -A₁ . . . A_(q)-), wherein A₁ is a group coupled to at least one of a E3LB, a PB, or a combination thereof. In certain embodiments, A₁ links a E3LB, a PB, or a combination thereof directly to another E3LB, PB, or combination thereof. In other embodiments, A₁ links a EL3B, a PB, or a combination thereof indirectly to another E3LB, PB, or combination thereof through A_(q).

In certain embodiments, A₁ to A_(q) are, each independently, a bond, CR^(La)R^(Lb), O, S, SO, SO₂, NR^(Lc), SO₂NR^(Lc), SONR^(Lc), CONR^(Lc), NR^(Lc)CONR^(Ld), NR^(Lc)SO₂NR^(Ld), CO, CR^(La)═CR^(Lb), C≡C, SiR^(La)R^(Lb), P(O)R^(La), P(O)OR^(La), NR^(Lc)C(═NCN)NR^(Ld), NR^(Lc)C(═NCN), NR^(Lc) C(═CNO₂)NR^(Ld), C₃₋₁₁cycloalkyl optionally substituted with 0-6 R^(L) and/or R^(Lb) groups, C₃₋₁₁heterocyclyl optionally substituted with 0-6 R^(La) and/or R^(Lb) groups, aryl optionally substituted with 0-6 R^(La) and/or R^(Lb) groups, heteroaryl optionally substituted with 0-6 R^(La) and/or R^(Lb) groups, where R^(La) or R^(Lb), each independently, can be linked to other A groups to form cycloalkyl and/or heterocyclyl moeity which can be further substituted with 0-4 R^(Le) groups; wherein R^(La), R^(Lb), R^(Lc), R^(Ld) and R^(Le) are, each independently, H, halo, C₁₋₈alkyl, OC₁₋₈alkyl, SC₁₋₈alkyl, NHC₁₋₈alkyl, N(C₁₋₈alkyl)₂, C₃₋₁₁cycloalkyl, aryl, heteroaryl, C₃₋₁₁heterocyclyl, OC₁₋₈cycloalkyl, SC₁₋₈cycloalkyl, NHC₁₋₈cycloalkyl, N(C₁₋₈cycloalkyl)₂, N(C₁₋₈cycloalkyl)(C₁₋₈alkyl), OH, NH₂, SH, SO₂C₁₋₈alkyl, P(O)(OC₁₋₈alkyl)(C₁₋₈alkyl), P(O)(OC₁₋₈alkyl)₂, CC—C₁₋₈alkyl, CCH, CH═CH(C₁₋₈alkyl), C(C₁₋₈alkyl)═CH(C₁₋₈alkyl), C(C₁₋₈alkyl)═C(C₁₋₈alkyl)₂, Si(OH)₃, Si(C₁₋₈alkyl)₃, Si(OH)(C₁₋₈alkyl)₂, COC₁₋₈alkyl, CO₂H, halogen, CN, CF₃, CHF₂, CH₂F, NO₂, SFs, SO₂NHC₁₋₈alkyl, SO₂N(C₁₋₈alkyl)₂, SONHC₁₋₈alkyl, SON(C₁₋₈alkyl)₂, CONHC₁₋₈alkyl, CON(C₁₋₈alkyl)₂, N(C₁₋₈alkyl)CONH(C₁₋₈alkyl), N(C₁₋₈alkyl)CON(C₁₋₈alkyl)₂, NHCONH(C₁₋₈alkyl), NHCON(C₁₋₈alkyl)₂, NHCONH₂, N(C₁₋₈alkyl)SO₂NH(C₁₋₈alkyl), N(C₁₋₈alkyl) SO₂N(C₁₋₈alkyl)₂, NH SO₂NH(C₁₋₈alkyl), NH SO₂N(C₁₋₈alkyl)₂, NH SO₂NH₂.

In certain embodiments, q is an integer greater than or equal to 0. In certain embodiments, q is an integer greater than or equal to 1.

In certain embodiments, e.g., where q is greater than 2, A_(q) is a group which is connected to an E3LB moiety, and A₁ and A_(q) are connected via structural units of A (number of such structural units of A: q-2).

In certain embodiments, e.g., where q is 2, A_(q) is a group which is connected to A₁ and to an E3LB moiety.

In certain embodiments, e.g., where q is 1, the structure of the linker group L2 is -A₁-, and A₁ is a group which is connected to an E3LB moiety and a PB moiety.

In additional embodiments, q is an integer from 1 to 100, 1 to 90, 1 to 80, 1 to 70, 1 to 60, 1 to 50, 1 to 40, 1 to 30, 1 to 20, or 1 to 10.

In certain embodiments, the linker (L2) is selected from the group consisting of):

In additional embodiments, the linker group is an optionally substituted (poly)ethyleneglycol having between 1 and about 100 ethylene glycol units, between about 1 and about 50 ethylene glycol units, between 1 and about 25 ethylene glycol units, between about 1 and 10 ethylene glycol units, between 1 and about 8 ethylene glycol units and 1 and 6 ethylene glycol units, between 2 and 4 ethylene glycol units, or optionally substituted alkyl groups interdispersed with optionally substituted, O, N, S, P or Si atoms. In certain embodiments, the linker is substituted with an aryl, phenyl, benzyl, alkyl, alkylene, or heterocycle group. In certain embodiments, the linker may be asymmetric or symmetrical.

In any of the embodiments of the compounds described herein, the linker group may be any suitable moiety as described herein. In one embodiment, the linker is a substituted or unsubstituted polyethylene glycol group ranging in size from about 1 to about 12 ethylene glycol units, between 1 and about 10 ethylene glycol units, about 2 about 6 ethylene glycol units, between about 2 and 5 ethylene glycol units, between about 2 and 4 ethylene glycol units.

Although the E3LB group and PB group may be covalently linked to the linker group through any group which is appropriate and stable to the chemistry of the linker. The linker is independently covalently bonded to the E3LB group and the PB group preferably through an amide, ester, thioester, keto group, carbamate (urethane), carbon or ether, each of which groups may be inserted anywhere on the E3LB group and PB group to provide maximum binding of the E3LB group on the ubiquitin ligase and the PB group on the target protein to be degraded. In certain aspects where the PB group is an E3LB group, the target protein for degradation may be the ubiquitin ligase itself. In certain aspects, the linker may be linked to an optionally substituted alkyl, alkylene, alkene or alkyne group, an aryl group or a heterocyclic group on the E3LB and/or PB groups. It is noted that an E3LB group or a PB group may need to be derivatized to make a chemical functional group that is reactive with a chemical functional group on the linker. Alternatively, the linker may need to be derivatized to include a chemical functional group that can react with a functional group found on E3LB and/or PB.

L2 can also be represented by the formula:

Where Z is a group which links E3LB to X; and X is a group linking Z to group PB.

In embodiments, Z is absent (a bond), —(CH₂)i-O, —(CH₂)i-S, —(CH₂)i-N—R, a (CH₂)_(i)—X₁Y₁ group wherein X₁Y₁ forms an amide group, or a urethane group, ester or thioester group, or a

where, each R is H, or a C₁-C₃ alkyl, an alkanol group or a heterocycle (including a water soluble heterocycle, preferably, a morpholino, piperidine or piperazine group to promote water solubility of the linker group); each Y is independently a bond, O, S or N—R; and each i is independently 0 to 100, 1 to 75, 1 to 60, 1 to 55, 1 to 50, 1 to 45, 1 to 40, 2 to 35, 3 to 30, 1 to 15, 1 to 10, 1 to 8, 1 to 6, 1, 2, 3, 4 or 5;

In embodiments, X is a

where each V is independently a bond (absent),

-   -   j is 1 to 100, 1 to 75, 1 to 60, 1 to 55, 1 to 50, 1 to 45, 1 to         40, 2 to 35, 3 to 30, 1 to 15,     -   1 to 10, 1 to 8, 1 to 6, 1, 2, 3, 4 or 5;     -   k is 1 to 100, 1 to 75, 1 to 60, 1 to 55, 1 to 50, 1 to 45, 1 to         40, 2 to 35, 3 to 30, 1 to 15, 1 to 10, 1 to 8, 1 to 6, 1, 2, 3,         4 or 5; preferably k is 1, 2, 3, 4, or 5;     -   m′ is 1 to 100, 1 to 75, 1 to 60, 1 to 55, 1 to 50, 1 to 45, 1         to 40, 2 to 35, 3 to 30, 1 to 15, 1 to 10, 1 to 8, 1 to 6, 1, 2,         3, 4 or 5;     -   n is 1 to 100, 1 to 75, 1 to 60, 1 to 55, 1 to 50, 1 to 45, 1 to         40, 2 to 35, 3 to 30, 1 to 15, 1 to 10, 1 to 8, 1 to 6, 1, 2, 3,         4 or 5;     -   X¹ is O, S or N—R, preferably 0;     -   Y is the same as above;     -   and CON is a connector group (which may be a bond) which         connects Z to X, when present in the linker group.

In embodiments, CON is a bond (absent), a heterocycle including a water soluble heterocycle such as a piperazinyl or other group or a group,

-   -   where X² is O, S, NR⁴, S(O), S(O)₂, —S(O)₂O, —OS(O)₂, or         OS(O)₂O;     -   X³ is O, S, CHR⁴, NR⁴; and     -   R is H or a C₁-C₃ alkyl group optionally substituted with one or         two hydroxyl groups, or a pharmaceutically acceptable salt,         enantiomer or stereoisomer thereof.

In alternative preferred aspects, the linker group is a (poly)ethyleneglycol having between 1 and about 100 ethylene glycol units, between about 1 and about 50 ethylene glycol units, between 1 and about 25 ethylene glycol units, between about 1 and 10 ethylene glycol units, between 1 and about 8 ethylene glycol units and 1 and 6 ethylene glycol units, between 2 and 4 ethylene glycol units.

In embodiments, CON is

or an amide group.

Although the E3LB group and PB group may be covalently linked to the linker group through any group which is appropriate and stable to the chemistry of the linker, in preferred aspects, the linker is independently covalently bonded to the E3LB group and the PB group through an amide, ester, thioester, keto group, carbamate (urethane) or ether, each of which groups may be inserted anywhere on the E3LB group and PB group to allow binding of the E3LB group to the ubiquitin ligase and the PB group to the target protein to be degraded. In other words, as shown herein, the linker can be designed and connected to E3LB and PB to minimize, eliminate, or neutralize any impact its presence might have on the binding of E3LB and PB to their respective binding partners. In certain aspects, the targeted protein for degradation may be an ubiquitin ligase.

Additional linkers L2 are disclosed in US Application Publication Nos. 2016/0058872; 2016/0045607; 2014/0356322; and 2015/0291562, and WO2014/063061.

Referring now to a PAC, a PAC can comprise a single antibody where the single antibody can have more than one PROTAC, each PROTAC covalently linked to the antibody through a linker L1. The “PROTAC loading” is the average number of PROTAC moieties per antibody. PROTAC loading may range from 1 to 8 PROTAC (D) per antibody (Ab). That is, in the PAC formula, Ab-(L1-D)_(p), p has a value from about 1 to about 50, from about 1 to about 8, from about 1 to about 5, from about 1 to about 4, or from about 1 to about 3. Each PROTAC covalently linked to the antibody through linker L1 can be the same or different PROTAC and can have a linker of the same type or different type as any other L1 covalently linked to the antibody. In one embodiment, Ab is a cysteine engineered antibody and p is about 2.

The average number of PROTACs per antibody in preparations of PACs from conjugation reactions may be characterized by conventional means such as mass spectrometry, ELISA assay, electrophoresis, and HPLC. The quantitative distribution of PACs in terms of p may also be determined. By ELISA, the averaged value of p in a particular preparation of PAC may be determined (Hamblett et al (2004) Clin. Cancer Res. 10:7063-7070; Sanderson et al (2005) Clin. Cancer Res. 11:843-852). However, the distribution of the value of p is not discernible by the antibody-antigen binding and detection limitation of ELISA. Also, ELISA assay for detection of PACs does not determine where the PROTAC moieties are attached to the antibody, such as the heavy chain or light chain fragments, or the particular amino acid residues. In some instances, separation, purification, and characterization of homogeneous PACs where p is a certain value from PACs with other PROTAC loadings may be achieved by means such as reverse phase HPLC or electrophoresis.

For some PACs, p may be limited by the number of attachment sites on the antibody. For example, an antibody may have only one or several cysteine thiol groups, or may have only one or several sufficiently reactive thiol groups through which a linker may be attached. Another reactive site on an Ab to connect L1-Ds are the amine functional group of lysine residues. Values of p include values from about 1 to about 50, from about 1 to about 8, from about 1 to about 5, from about 1 about 4, from about 1 to about 3, and where p is equal to 2. In some embodiments, the subject matter described herein is directed to any the PACs, wherein p is about 1, 2, 3, 4, 5, 6, 7, or 8.

Generally, fewer than the theoretical maximum of PROTAC moieties is conjugated to an antibody during a conjugation reaction. An antibody may contain, for example, many lysine residues that do not react with the linker L1-PROTAC group (L1-D) or linker reagent. Only the most reactive lysine groups may react with an amine-reactive linker reagent. Also, only the most reactive cysteine thiol groups may react with a thiol-reactive linker reagent or linker L1-PROTAC group. Generally, antibodies do not contain many, if any, free and reactive cysteine thiol groups which may be linked to a PROTAC moiety. Most cysteine thiol residues in the antibodies of the compounds exist as disulfide bridges and must be reduced with a reducing agent such as dithiothreitol (DTT) or TCEP, under partial or total reducing conditions. However, the PROTAC loading (PROTAC/antibody ratio, “PAR”) of a PAR may be controlled in several different manners, including: (i) limiting the molar excess of linker L1-PROTAC group or linker reagent relative to antibody, (ii) limiting the conjugation reaction time or temperature, and (iii) partial or limiting reductive conditions for cysteine thiol modification.

III. L1-PROTAC Compounds

The PROTACs described herein can be covalently linked to a linker L1 to prepare L1-PROTAC groups. These compounds have the following general formula:

(L1-D),

wherein, D is a PROTAC having the structure E3LB-L2-PB; wherein, E3LB is an E3 ligase binding group covalently bound to L2; L2 is a linker covalently bound to E3LB and PB; PB is a protein binding group covalently bound to L2; and L1 is a linker, covalently bound to D. Useful groups for each of these components is as described above.

In particular embodiments, L1 is as described elsewhere herein, including a peptidomimetic linker. In these embodiments, the L1-PROTAC has the following formula:

-   -   wherein     -   Str is a stretcher unit;     -   Sp is a bond or a spacer unit covalently attached to D, i.e., a         PROTAC moiety;     -   R¹ is C₁-C₁₀alkyl, (C₁-C₁₀alkyl)NHC(NH)NH₂ or         (C₁-C₁₀alkyl)NHC(O)NH₂;     -   R⁴ and R⁵ are each independently C₁-C₁₀alkyl, arylalkyl,         heteroarylalkyl, (C₁-C₁₀alkyl)OCH₂—, or R⁴ and R⁵ may form a         C₃-C₇cycloalkyl ring;     -   D is a PROTAC moiety.

An L1-PROTAC compound can be represented by the following formula:

wherein R₆ is C₁-C₁₀alkylene; R⁴ and R⁵ together form a C₃-C₇cycloalkyl ring, and D is a PROTAC moeity.

An L1-PROTAC compound can be represented by the following formula:

wherein R¹, R⁴ and R⁵ are as described elsewhere herein, and D is a PROTAC moiety.

An L1-PROTAC compound can be represented by the following formula:

-   -   wherein     -   Str is a stretcher unit;     -   Sp is an optional spacer unit covalently attached to D, i.e., a         PROTAC moiety;     -   Y is heteroaryl, aryl, —C(O)C₁-C₆alkylene, C₁-C₆alkylene-NH₂,         C₁-C₆alkylene-NH—CH₃, C₁-C₆alkylene-N—(CH₃)₂, C₁-C₆alkenyl or         C₁-C₆alkylenyl;     -   R¹ is C₁-C₁₀alkyl, (C₁-C₁₀alkyl)NHC(NH)NH₂ or         (C₁-C₁₀alkyl)NHC(O)NH₂;     -   R³ and R² are each independently H, C₁-C₁₀alkyl, arylalkyl or         heteroarylalkyl, or R³ and R² together may form a         C₃-C₇cycloalkyl; and     -   D is a PROTAC moiety.

An L1-PROTAC compound can be represented by the following formula:

wherein, R⁶ is C₁-C₁₀alkylene, and R¹, R² and R³ are as described elsewhere herein, and D is a PROTAC moiety

An L1-PROTAC compound can be represented by the following formula:

wherein R¹, R² and R³ are as described elsewhere herein, and D is a PROTAC moiety.

In any of the above L1-PROTAC compounds, Str can have the following formula:

wherein R⁶ is selected from the group consisting of C₁-C₁₀alkylene, C₃-C₈cycloalkyl, O—(C₁-C₈alkylene), and C₁-C₁₀alkylene-C(O)N(R^(a))—C₂-C₆alkylene, where each alkylene may be substituted by one to five substituents selected from the group consisting of halo, trifluoromethyl, difluoromethyl, amino, alkylamino, cyano, sulfonyl, sulfonamide, sulfoxide, hydroxy, alkoxy, ester, carboxylic acid, alkylthio, C₃-C₅cycloalkyl, C₄-C₇heterocycloalkyl aryl, arylalkyl, heteroarylalkyl and heteroaryl; each R^(a) is independently H or C₁-C₆alkyl; Sp is —Ar—R^(b)—, wherein Ar is aryl or heteroaryl, R^(b) is (C₁-C₁₀alkylene)O—.

In certain L1-PROTAC compounds, R⁶ is C₁-C₁₀alkylene, Sp is —Ar—R^(b)—, wherein Ar is aryl R^(b) is (C₁-C₆alkylene)O—; or R₆ is —(CH₂)_(q) is 1-10;

In any of the above L1-PROTAC compounds, Str can have the following formula:

wherein,

indicates a moiety capable of conjugating to an antibody, R⁷ is selected from C₁-C₁₀alkylene, C₁-C₁₀alkylene-O, N(R^(c))—C₂-C₆ alkylene)-N(R^(c)) and N(R^(c))—C₂-C₆alkylene); where each WC is independently H or C₁-C₆ alkyl;

-   -   Sp is —Ar—R^(b)—, wherein Ar is aryl or heteroaryl, R^(b) is         (C₁-C₁₀ alkylene)O—; or wherein R⁶ is C₁-C₁₀ alkylene, Sp is         —Ar—R^(b)—, wherein Ar is aryl R^(b) is (C₁-C₆ alkylene)O—.

An L1-PROTAC can have the following formulae, wherein in each instance, D is a PROTAC moiety:

Referring now to the PB group of the PROTAC, in particular embodiments, PB is as described elsewhere herein, or is selected from the group consisting of Heat Shock Protein 90 (HSP90) inhibitors, Kinase and Phosphatase inhibitors, MDM2 inhibitors, HDAC inhibitors, Human Lysine Methyltransferase Inhibitors, Angiogenesis inhibitors, Immunosuppressive compounds, as well as compounds that target: Human BET Bromodomain-containing proteins, the aryl hydrocarbon receptor (AHR), REF receptor kinase, FKBP, Andrpgen Receptor (AR), Estrogen receptor (ER), Thyroid Hormone Receptor, HIV Protease, HIV Integrase, HCV Protease, Acyl-protein Thioesterase-1 and -2 (APT1 and APT2).

In particular embodiments, E3LB is as described elsewhere herein, including a group that binds XIAP, VHL, cereblon and MDM2.

The subject matter described herein is also directed to methods of preparing a PAC from a L1-PROTAC compound, the method comprising contacting an antibody, or variants, mutations, splice variants, indels and fusions thereof, with a L1-PROTAC under conditions where the antibody is covalently bound to any available point of attachment on a L1-PROTAC, wherein a PAC is prepared. The subject matter described herein is also directed to methods of preparing a PAC from an Ab-L1 portion, i.e., an antibody, or variants, mutations, splice variants, indels and fusions thereof, covalently attached to a L1, the methods comprising contacting a PROTAC with an Ab-L1 under conditions where the PROTAC is covalently bound to any available point of attachment on the Ab-L1, wherein a PAC is prepared. The methods can further comprise routine isolation and purification of the PACs.

Referring now to a PAC and a L1-PROTAC compound, as described herein, these can exist in solid or liquid form. In the solid state, it may exist in crystalline or noncrystalline form, or as a mixture thereof. The skilled artisan will appreciate that pharmaceutically acceptable solvates may be formed for crystalline or non-crystalline compounds. In crystalline solvates, solvent molecules are incorporated into the crystalline lattice during crystallization. Solvates may involve non-aqueous solvents such as, but not limited to, ethanol, isopropanol, DMSO, acetic acid, ethanolamine, or ethyl acetate, or they may involve water as the solvent that is incorporated into the crystalline lattice. Solvates wherein water is the solvent incorporated into the crystalline lattice are typically referred to as “hydrates.” Hydrates include stoichiometric hydrates as well as compositions containing variable amounts of water. The subject matter described herein includes all such solvates.

The skilled artisan will further appreciate that certain compounds and PACs described herein that exist in crystalline form, including the various solvates thereof, may exhibit polymorphism (i.e. the capacity to occur in different crystalline structures). These different crystalline forms are typically known as “polymorphs.” The subject matter disclosed herein includes all such polymorphs. Polymorphs have the same chemical composition but differ in packing, geometrical arrangement, and other descriptive properties of the crystalline solid state. Polymorphs, therefore, may have different physical properties such as shape, density, hardness, deformability, stability, and dissolution properties. Polymorphs typically exhibit different melting points, IR spectra, and X-ray powder diffraction patterns, which may be used for identification. The skilled artisan will appreciate that different polymorphs may be produced, for example, by changing or adjusting the reaction conditions or reagents, used in making the compound. For example, changes in temperature, pressure, or solvent may result in polymorphs. In addition, one polymorph may spontaneously convert to another polymorph under certain conditions.

Compounds and PACs described herein or a salt thereof may exist in stereoisomeric forms (e.g., it contains one or more asymmetric carbon atoms). The individual stereoisomers (enantiomers and diastereomers) and mixtures of these are included within the scope of the subject matter disclosed herein. Likewise, it is understood that a compound or salt of Formula (I) may exist in tautomeric forms other than that shown in the formula and these are also included within the scope of the subject matter disclosed herein. It is to be understood that the subject matter disclosed herein includes all combinations and subsets of the particular groups described herein. The scope of the subject matter disclosed herein includes mixtures of stereoisomers as well as purified enantiomers or enantiomerically/diastereomerically enriched mixtures. It is to be understood that the subject matter disclosed herein includes all combinations and subsets of the particular groups defined hereinabove.

The subject matter disclosed herein also includes isotopically-labelled forms of the compounds described herein, but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number usually found in nature. Examples of isotopes that can be incorporated into compounds described herein and pharmaceutically acceptable salts thereof include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, sulphur, fluorine, iodine, and chlorine, such as ²H, ³H, ¹¹C, ¹³C, ¹⁴C, ¹⁵N, ¹⁷O, ¹⁸O, ³¹P, ³²P, ³⁵S, ¹⁸F, ³⁶Cl, ¹²³I and ¹²⁵I.

Compounds and PACs as disclosed herein and pharmaceutically acceptable salts thereof that contain the aforementioned isotopes and/or other isotopes of other atoms are within the scope of the subject matter disclosed herein. Isotopically-labelled compounds are disclosed herein, for example those into which radioactive isotopes such as ³H, ¹⁴C are incorporated, are useful in drug and/or substrate tissue distribution assays. Tritiated, i.e., ³H, and carbon-14, i.e., ¹⁴C, isotopes are commonly used for their ease of preparation and detectability. ¹¹C and ¹⁸F isotopes are useful in PET (positron emission tomography), and ¹²⁵I isotopes are useful in SPECT (single photon emission computerized tomography), all useful in brain imaging. Further, substitution with heavier isotopes such as deuterium, i.e., ²H, can afford certain therapeutic advantages resulting from greater metabolic stability, for example increased in vivo half-life or reduced dosage requirements and, hence, may be preferred in some circumstances. Isotopically labelled compounds of formula I can generally be prepared by carrying out the procedures disclosed in the Schemes and/or in the Examples below, by substituting a readily available isotopically labelled reagent for a non-isotopically labelled reagent.

The subject matter described herein includes the following embodiments:

-   -   1. A conjugate having the chemical structure

Ab-(L1-D)_(p),

-   -   -   wherein,         -   D is a PROTAC having the structure E3LB-L2-PB;         -   E3LB is an E3 ligase binding group covalently bound to L2;         -   L2 is a linker covalently bound to E3LB and PB;         -   PB is a protein binding group covalently bound to L2;         -   Ab is an antibody covalently bound to L1;         -   L1 is a linker, covalently bound to Ab and to D;         -   p has a value from about 1 to about 8.

    -   2. The conjugate of embodiment 1, wherein E3LB is a group that         binds an E3 ligase, wherein the E3 ligase is listed in Tables         13-27, e.g., Table 13, Table 14, Table 15, Table 16, Table 17,         Table 18, Table 19, Table 20, Table 21, Table 22, Table 23,         Table 24, Table 25, Table 26, or Table 27.

    -   3. The conjugate of any above embodiment, wherein E3LB is a         group that binds an E3 ligase, wherein the E3 ligase is selected         from the group consisting of von Hippel-Lindau (VHL); cereblon;         XIAP; E3A; MDM2; Anaphase-promoting complex (APC); UBR5 (EDD1);         SOCS/BC-box/eloBC/CUL5/RING; LNXp80; CBX4; CBLL1; HACE1; HECTD1;         HECTD2; HECTD3; HECW1; HECW2; HERC1; HERC2; HERC3; HERC4; HUWE1;         ITCH; NEDD4; NEDD4L; PPIL2; PRPF19; PIAS1; PIAS2; PIAS3; PIAS4;         RANBP2; RNF4; RBX1; SMURF1; SMURF2; STUB1; TOPORS; TRIP12;         UBE3A; UBE3B; UBE3C; UBE4A; UBE4B; UBOX5; UBR5; WWP1; WWP2;         Parkin; A20/TNFAIP3; AMFR/gp78; ARA54; beta-TrCP1/BTRC; BRCA1;         CBL; CHIP/STUB1; E6; E6AP/UBE3A; F-box protein 15/FBXO15;         FBXW7/Cdc4; GRAIL/RNF128; HOIP/RNF31; cIAP-1/HIAP-2;         cIAP-2/HIAP-1; cIAP (pan); ITCH/AIP4; KAP1; MARCH8; MDM2/HDM2;         Mind Bomb 1/MIB1; Mind Bomb 2/MIB2; MuRF1/TRIM63; NDFIP1; NEDD4;         N1eL; Parkin; RNF2; RNF4; RNF8; RNF168; RNF43; SART1; Skp2;         SMURF2; TRAF-1; TRAF-2; TRAF-3; TRAF-4; TRAF-5; TRAF-6; TRIM5;         TRIM21; TRIM32; UBR5; and ZNRF3.

    -   4. The conjugate of any above embodiment, wherein E3LB is a         group that binds an E3 ligase selected from the group consisting         of XIAP, VHL, cereblon and MDM2.

    -   5. The conjugate of any above embodiment, wherein E3LB is         selected from the group consisting of a compound that binds VHL,         a hydroxyproline compound that binds VHL, a compound that binds         MDM2, a compound that binds cereblon, a         tetrahydro-benzodiazepinone, a nutlin, and small molecular         binding compounds as described herein.

    -   6. The conjugate of any above embodiment, wherein E3LB is a XIAP         inhibitor that is a tetrahydro-benzodiazepinone having the         formula:

-   -    wherein, R¹, R², R³, R⁴ and R⁵ are as described in         WO/2015/071393, and including all compounds therein.     -   7. The conjugate of any above embodiment, wherein PB is a group         that binds FoxO1, HDAC, DP-1, E2F, ABL, AMPK, BRK, BRSK I,         BRSK2, BTK, CAMKK1, CAMKK alpha, CAMKK beta, Rb, Suv39HI, SCF,         p19INK4D, GSK-3, pi 8 INK4, myc, cyclin E, CDK2, CDK9, CDG4/6,         Cycline D, p16 INK4A, cdc25A, BMI1, SCF, Akt, CHK1/2, C 1 delta,         CK1 gamma, C 2, CLK2, CSK, DDR2, DYRKIA/2/3, EF2K,         EPH-A2/A4/B1/B2/B3/B4, EIF2A 3, Smad2, Smad3, Smad4, Smad7, p53,         p21 Cipl, PAX, Fyn, CAS, C3G, SOS, Tal, Raptor, RACK-1, CRK,         Rapl, Rac, KRas, NRas, HRas, GRB2, FAK, PI3K, spred, Spry, mTOR,         MPK, LKB1, PAK 1/2/4/5/6, PDGFRA, PYK2, Src, SRPK1, PLC, PKC,         PKA, PKB alpha/beta, PKC alpha/gamma/zeta, PKD, PLK1, PRAK,         PRK2, RIPK2, WAVE-2, TSC2, DAPK1, BAD, IMP, C-TAK1, TAK1, TAO1,         TBK1, TESK1, TGFBR1, TIE2, TLK1, TrkA, TSSK1, TTBK1/2, TTK,         Tpl2/cotl, MEK1, MEK2, PLDL Erk1, Erk2, Erk5, Erk8, p90RSK,         PEA-15, SRF, p27 KIP1, TIF 1a, HMGN1, ER81, MKP-3, c-Fos,         FGF-R1, GCK, GSK3 beta, HER4, HIPK1/2/3, IGF-1R, cdc25, UBF,         LAMTOR2, Statl, StaO, CREB, JAK, Src, PTEN, NF-kappaB, HECTH9,         Bax, HSP70, HSP90, Apaf-1, Cyto c, BCL-2, Bcl-xL, Smac, XIAP,         Caspase-9, Caspase-3, Caspase-6, Caspase-7, CDC37, TAB, IKK,         TRADD, TRAF2, R1P1, FLIP, TAK1, JNK1/2/3, Lck, A-Raf, B-Raf,         C-Raf, MOS, MLK1/3, MN 1/2, MSK1, MST2/3/4, MPSK1, MEKK1, ME K4,         MEL, ASK1, MINK1, MKK 1/2/3/4/6/7, NE 2a/6/7, NUAK1, OSR1, SAP,         STK33, Syk, Lyn, PDK1, PHK, PIM 1/2/3, Ataxin-1, mTORC1, MDM2,         p21 Wafl, Cyclin D1, Lamin A, Tpl2, Myc, catenin, Wnt, IKK-beta,         IKK-gamma, IKK-alpha, IKK-epsilon, ELK, p65RelA, IRAKI, IRA 2,         IRAK4, IRR, FADD, TRAF6, TRAF3, MKK3, MKK6, ROCK2, RSK1/2, SGK         1, SmMLCK, SIK2/3, ULK1/2, VEGFR1, WNK 1, YES1, ZAP70, MAP4K3,         MAP4K5, MAPK1b, MAPKAP-K2 K3, p38 alpha/beta/delta/gamma MAPK,         Aurora A, Aurora B, Aurora C, MCAK, Clip, MAPKAPK, FAK, MARK         1/2/3/4, Mucl, SHC, CXCR4, Gap-1, Myc, beta-catenin/TCF, Cbl,         BRM, Mcl1, BRD2, BRD3, BRD4, AR, RAS, ErbB3, EGFR, IRE1, HPK1,         RIPK2, and Era, including all variants, mutations, splice         variants, indels and fusions thereof.     -   8. The conjugate of any above embodiment, wherein PB is selected         from the group consisting of Heat Shock Protein 90 (HSP90)         inhibitors, Kinase and Phosphatase inhibitors, MDM2 inhibitors,         HDAC inhibitors, Human Lysine Methyltransferase Inhibitors,         Angiogenesis inhibitors, Immunosuppressive compounds, and         compounds that target: Human BET Bromodomain-containing         proteins, the aryl hydrocarbon receptor (AHR), REF receptor         kinase, FKBP, Androgen Receptor (AR), Estrogen receptor (ER),         Thyroid Hormone Receptor, HIV Protease, HIV Integrase, HCV         Protease, and Acyl-protein Thioesterase-1 and -2 (APT1 and         APT2).     -   9. The conjugate of any above embodiment, wherein PB is a         compound that targets Estrogen Receptor alpha (ERα).     -   10. The conjugate of any above embodiment, wherein the Ab is         selected from Tables 4-12, e.g., Table 4, Table 5, Table 6,         Table 7, Table 8, Table 9, Table 10, Table 11, or Table 12.     -   11. The conjugate of any above embodiment, wherein the Ab is a         cysteine engineered antibody or variants thereof.     -   12. The conjugate of any above embodiment, wherein Ab binds to         one or more of polypeptides selected from the group consisting         of DLL3; EDAR; CLL1; BMPR1B; E16; STEAP1; 0772P; MPF; NaPi2b;         Sema 5b; PSCA hlg; ETBR; MSG783; STEAP2; TrpM4; CRIPTO; CD21;         CD79b; FcRH2; B7-H4; HER2; NCA; MDP; IL20Rα; Brevican; EphB2R;         ASLG659; PSCA; GEDA; BAFF-R; CD22; CD79a; CXCR5; HLA-DOB; P2X5;         CD72; LY64; FcRH1; IRTA2; TENB2; PMEL17; TMEFF1; GDNF-Ra1; Ly6E;         TMEM46; Ly6G6D; LGR5; RET; LY6K; GPR19; GPR54; ASPHD1;         Tyrosinase; TMEM118; GPR172A; MUC16 and CD33.     -   13. The conjugate of any above embodiment, wherein Ab binds to         one or more of polypeptides selected from the group consisting         of CLL1; STEAP1; NaPi2b; STEAP2; TrpM4; CRIPTO; CD21; CD79b;         FcRH2; B7-H4; HER2; CD22; CD79a; CD72; LY64; Ly6E; MUC16; and         CD33.     -   14. The conjugate of any above embodiment, wherein Ab is an         antibody that binds to one or more polypeptides selected from         the group consisting of B7-H4, Her2, CLL1, CD33, CD22 and         NaPi2b.     -   15. The conjugate of any above embodiment, wherein the antibody         binds to HER2 or B7-H4.     -   16. The conjugate of any above embodiment, wherein the antibody         binds to Her2.     -   17. The conjugate of any above embodiment, wherein L1 is a         peptidomimetic linker.     -   18. The conjugate of any above embodiment, wherein L1 is a         peptidomimetic linker represented by the following formula

-Str-(PM)-Sp-

-   -   wherein,     -   Str is a stretcher unit covalently attached to Ab;     -   Sp is a bond or spacer unit covalently attached to a PROTAC         moiety;     -   PM is a non-peptide chemical moiety selected from the group         consisting of:

-   -   W is —NH-heterocycloalkyl- or heterocycloalkyl;     -   Y is heteroaryl, aryl, —C(O)C₁-C₆alkylene, C₁-C₆alkylene-NH₂,         C₁-C₆alkylene-NH—CH₃, C₁-C₆alkylene-N—(CH₃)₂, C₁-C₆alkenyl or         C₁-C₆alkylenyl;     -   each R¹ is independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl,         (C₁-C₁₀alkyl)NHC(NH)NH₂ or (C₁-C₁₀alkyl)NHC(O)NH₂;     -   R³ and R² are each independently H, C₁-C₁₀alkyl, C₁-C₁₀alkenyl,         arylalkyl or heteroarylalkyl, or R³ and R² together may form a         C₃-C₇cycloalkyl; and     -   R⁴ and R⁵ are each independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl,         arylalkyl, heteroarylalkyl, (C₁-C₁₀alkyl)OCH₂—, or R⁴ and R⁵         together may form a C₃-C₇cycloalkyl ring.     -   19. The conjugate of any above embodiment, wherein Y is         heteroaryl; R⁴ and R⁵ together form a cyclobutyl ring.     -   20. The conjugate of any above embodiment, wherein Y is a moiety         selected from the group consisting of

-   -   21. The conjugate of any above embodiment, wherein     -   Str is a chemical moiety represented by the following formula:

-   -   wherein R⁶ is selected from the group consisting of         C₁-C₁₀alkylene, C₁-C₁₀alkenyl, C₃-C₈cycloalkyl,         (C₁-C₈alkylene)O—, and         C₁-C₁₀alkylene-C(O)N(R^(a))—C₂-C₆alkylene, where each alkylene         may be substituted by one to five substituents selected from the         group consisting of halo, trifluoromethyl, difluoromethyl,         amino, alkylamino, cyano, sulfonyl, sulfonamide, sulfoxide,         hydroxy, alkoxy, ester, carboxylic acid, alkylthio,         C₃-C₈cycloalkyl, C₄-C₇heterocycloalkyl, heteroarylalkyl, aryl         arylalkyl, heteroarylalkyl and heteroaryl each R^(a) is         independently H or C₁-C₆alkyl;     -   Sp is —C₁-C₆alkylene-C(O)NH— or —Ar—R^(b)—, wherein Ar is aryl         or heteroaryl, R^(b) is (C₁-C₁₀alkylene)O—.     -   22. The conjugate of any above embodiment, wherein Str has the         formula:

-   -   wherein R⁷ is selected from C₁-C₁₀alkylene, C₁-C₁₀alkenyl,         (C₁-C₁₀alkylene)O—, N(R^(c))—(C₂-C₆ alkylene)-N(R^(c)) and         N(R^(c))—(C₂-C₆alkylene); where each R^(c) is independently H or         C₁-C₆ alkyl;     -   Sp is —C₁-C₆alkylene-C(O)NH— or —Ar—R^(b)—, wherein Ar is aryl         or heteroaryl, R^(b) is (C₁-C₁₀alkylene)O—.     -   23. The conjugate of any above embodiment, wherein L1 has the         following formula

-   -   R¹ is C₁-C₆alkyl, C₁-C₆alkenyl, (C₁-C₆alkyl)NHC(NH)NH₂ or         (C₁-C₆alkyl)NHC(O)NH₂;     -   R³ and R² are each independently H, C₁-C₁₀alkyl; and Str and Sp         are as defined herein.     -   24. The conjugate of any above embodiment, wherein L1 has the         following formula

-   -   R¹ is C₁-C₆alkyl, (C₁-C₆alkyl)NHC(NH)NH₂ or         (C₁-C₆alkyl)NHC(O)NH₂; Str and Sp are as defined herein; and     -   R⁴ and R⁵ together form a C₃-C₇cycloalkyl ring.     -   25. The conjugate of any above embodiment, wherein L1 has the         following formula

-   -   Str and Sp are as defined herein; and     -   R¹ is C₁-C₆alkyl, (C₁-C₆alkyl)NHC(NH)NH₂ or         (C₁-C₆alkyl)NHC(O)NH₂.     -   26. The conjugate of any above embodiment, having the formula:

-   -   wherein     -   Str is a chemical moiety represented by the following formula:

-   -   R⁶ is selected from the group consisting of C₁-C₁₀alkylene, and         C₁-C₁₀alkylene-C(O)N(R^(a))—C₂-C₆alkylene, where each alkylene         may be substituted by one to five substituents selected from the         group consisting of halo, trifluoromethyl, difluoromethyl,         amino, alkylamino, cyano, sulfonyl, sulfonamide, sulfoxide,         hydroxy, alkoxy, ester, carboxylic acid, alkylthio,         C₃-C₈cycloalkyl, C₄-C₇heterocycloalkyl, heteroarylalkyl, aryl,         arylalkyl, heteroarylalkyl and heteroaryl each R^(a) is         independently H or C₁-C₆alkyl;     -   Ab and Sp are as defined herein; and     -   p is 1, 2, 3 or 4.     -   27. The conjugate of any above embodiment, having the formula:

-   -   wherein     -   Str is a chemical moiety represented by the following formula:

-   -   R⁶ is selected from the group consisting of C₁-C₁₀alkylene, and         C₁-C₁₀alkylene-C(O)N(R^(a))—C₂-C₆alkylene, where each alkylene         may be substituted by one to five substituents selected from the         group consisting of halo, trifluoromethyl, difluoromethyl,         amino, alkylamino, cyano, sulfonyl, sulfonamide, sulfoxide,         hydroxy, alkoxy, ester, carboxylic acid, alkylthio,         C₃-C₅cycloalkyl, C₄-C₇heterocycloalkyl, aryl, arylalkyl,         heteroarylalkyl and heteroaryl each R is independently H or         C₁-C₆alkyl;     -   R¹, R⁴, R⁵, Ab, D and Sp are as defined herein; and     -   p is 1, 2, 3 or 4.     -   28. The conjugate of any above embodiment, wherein Y is         heteroaryl, aryl or alkenyl; R⁶ is C₁-C₁₀alkylene.     -   29. The conjugate of any above embodiment, wherein Y is

-   -   30. The conjugate of any above embodiment, wherein Y is

-   -   31. The conjugate of any above embodiment, wherein Y is

-   -   32. The conjugate of any above embodiment, wherein     -   Str is a chemical moiety represented by the following formula:

-   -   R⁶ is C₁-C₆alkylene;     -   Sp is —C₁-C₆alkylene-C(O)NH— or —Ar—R^(b)—, where Ar is aryl,         R^(b) is (C₁-C₃alkylene)O—.     -   33. The conjugate of any above embodiment, having the formula:

-   -   wherein     -   Ab, D, R² and R³ are as defined herein;     -   R¹ is C₁-C₆alkyl-NH₂, (C₁-C₆alkyl)NHC(NH)NH₂ or         (C₁-C₆alkyl)NHC(O)NH₂; and     -   p is 1, 2, 3 or 4.     -   34. The conjugate of any above embodiment, having the formula:

-   -   wherein     -   Ab and D are as defined herein;     -   p is 1, 2, 3 or 4;     -   R¹ is C₁-C₆alkyl-NH₂, (C₁-C₆alkyl)NHC(NH)NH₂ or         (C₁-C₆alkyl)NHC(O)NH₂;     -   R⁴ and R⁵ are each independently C₁-C₆alkyl, wherein the alkyl         are unsubstituted, or R⁴ and R⁵ together with the carbon to         which each is attached can form a C₃-C₇cycloalkyl ring, such as         a cyclobutyl.     -   35. The conjugate of any above embodiment, wherein L1 has the         following formula:

-   -   -   wherein, R¹ and R² are independently selected from H and             C₁-C₆ alkyl, or R¹ and R² form a 3, 4, 5, or 6-membered             cycloalkyl or heterocyclyl group.

    -   36. The conjugate of any above embodiment selected from the         group consisting of PAC1, PAC2, PAC3, PAC4, and PAC5.

    -   37. The conjugate of any above embodiment, wherein the ratio of         PROTAC per Antibody (“PAR”) is from about 1.5 to about 3.

    -   38. The conjugate of any above embodiment, wherein the ratio of         PROTAC per Antibody (“PAR”) is about 2.

    -   39. A method of treating a disease in a human in need thereof,         comprising administering to the human an effective amount of a         conjugate of any above embodiment.

    -   40. A pharmaceutical composition comprising a conjugate of any         above embodiment and a pharmaceutically acceptable excipient.

    -   41. A method of treating a disease in a human in need thereof,         comprising administering to said human an effective amount of a         pharmaceutical composition of embodiment 40.

    -   42. A method of treating a disease with a conjugate of any above         embodiment, wherein the disease is a hyperproliferative         disorder, including, benign or malignant solid tumors and         hematological disorders, disorders involving neuronal, glial,         astrocytal, hypothalamic, glandular, macrophagal, epithelial,         stromal, blastocoelic, inflammatory, angiogenic, immunologic,         and autoimmune conditions.

    -   43. A method of treating a disease with a conjugate of any above         embodiment, wherein the disease is cancer.

    -   44. A method of treating a disease with a conjugate of any above         embodiment, wherein the cancer is selected from the group         consisting of a carcinoma, lymphoma, blastoma, sarcoma,         leukemia, lymphoid malignancies, squamous cell cancer (e.g.         epithelial squamous cell cancer), lung cancer including         small-cell lung cancer, non-small cell lung cancer,         adenocarcinoma of the lung and squamous carcinoma of the lung,         cancer of the peritoneum, hepatocellular cancer, gastric or         stomach cancer including gastrointestinal cancer, pancreatic         cancer, glioblastoma, cervical cancer, ovarian cancer, liver         cancer, bladder cancer, hepatoma, breast cancer, colon cancer,         rectal cancer, colorectal cancer, endometrial or uterine         carcinoma, salivary gland carcinoma, kidney or renal cancer,         prostate cancer, vulval cancer, thyroid cancer, hepatic         carcinoma, anal carcinoma, penile carcinoma, and head and neck         cancer.

    -   45. The method of embodiment 43, wherein the cancer is a         HER2-positive cancer.

    -   46. The method of embodiment 45, wherein the HER2-positive         cancer is breast cancer or gastric cancer.

    -   47. A method of treating a disease with a conjugate of any above         embodiment, wherein the disease is an autoimmune disease.

    -   48. The method of embodiment 47, wherein said autoimmune disease         is selected from the group consisting of rheumatologic disorders         (such as, for example, rheumatoid arthritis, Sjögren's syndrome,         scleroderma, lupus such as systemic lupus erythematosus (SLE)         and lupus nephritis, polymyositis/dermatomyositis,         cryoglobulinemia, anti-phospholipid antibody syndrome, and         psoriatic arthritis), osteoarthritis, autoimmune         gastrointestinal and liver disorders (such as, for example,         inflammatory bowel diseases (e.g., ulcerative colitis and         Crohn's disease), autoimmune gastritis and pernicious anemia,         autoimmune hepatitis, primary biliary cirrhosis, primary         sclerosing cholangitis, and celiac disease), vasculitis (such         as, for example, ANCA-associated vasculitis, including         Churg-Strauss vasculitis, Wegener's granulomatosis, and         polyarteriitis), autoimmune neurological disorders (such as, for         example, multiple sclerosis, opsoclonus myoclonus syndrome,         myasthenia gravis, neuromyelitis optica, Parkinson's disease,         Alzheimer's disease, and autoimmune polyneuropathies), renal         disorders (such as, for example, glomerulonephritis,         Goodpasture's syndrome, and Berger's disease), autoimmune         dermatologic disorders (such as, for example, psoriasis,         urticaria, hives, pemphigus vulgaris, bullous pemphigoid, and         cutaneous lupus erythematosus), hematologic disorders (such as,         for example, thrombocytopenic purpura, thrombotic         thrombocytopenic purpura, post-transfusion purpura, and         autoimmune hemolytic anemia), atherosclerosis, uveitis,         autoimmune hearing diseases (such as, for example, inner ear         disease and hearing loss), Behcet's disease, Raynaud's syndrome,         organ transplant, and autoimmune endocrine disorders (such as,         for example, diabetic-related autoimmune diseases such as         insulin-dependent diabetes mellitus (IDDM), Addison's disease,         and autoimmune thyroid disease (e.g., Graves' disease and         thyroiditis)).

    -   49. The method of embodiment 47, wherein said autoimmune disease         is selected from the group consisting of rheumatoid arthritis,         ulcerative colitis, ANCA-associated vasculitis, lupus, multiple         sclerosis, Sjögren's syndrome, Graves' disease, IDDM, pernicious         anemia, thyroiditis, and glomerulonephritis.

    -   50. Use of a conjugate of any above embodiment in the         manufacture of a medicament for the treatment of cancer in a         mammal.

    -   51. A method of preparing a PAC, said method comprising         contacting a Linker L1-PROTAC with an antibody.

IV. Synthesis Routes

PACs and compounds described herein can be synthesized by synthetic routes that include processes analogous to those well-known in the chemical arts, particularly in light of the description contained herein, and those for other heterocycles described in: Comprehensive Heterocyclic Chemistry II, Editors Katritzky and Rees, Elsevier, 1997, e.g. Volume 3; Liebigs Annalen der Chemie, (9):1910-16, (1985); Helvetica Chimica Acta, 41:1052-60, (1958); Arzneimittel-Forschung, 40(12):1328-31, (1990). Starting materials are generally available from commercial sources such as Aldrich Chemicals (Milwaukee, WI) or are readily prepared using methods well known to those skilled in the art (e.g., prepared by methods generally described in Louis F. Fieser and Mary Fieser, Reagents for Organic Synthesis, v. 1-23, Wiley, N.Y. (1967-2006 ed.), or Beilsteins Handbuch der organischen Chemie, 4, Aufl. ed. Springer-Verlag, Berlin, including supplements (also available via the Beilstein online database).

Synthetic chemistry transformations and protecting group methodologies (protection and deprotection) useful in synthesizing the PACs and groups as described herein and necessary reagents and intermediates are known in the art and include, for example, those described in R. Larock, Comprehensive Organic Transformations, VCH Publishers (1989); T. W. Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, 3^(rd) Ed., John Wiley and Sons (1999); and L. Paquette, ed., Encyclopedia of Reagents for Organic Synthesis, John Wiley and Sons (1995) and subsequent editions thereof. In preparing PACs and compounds, protection of remote functionality (e.g., primary or secondary amine) of intermediates may be necessary. The need for such protection will vary depending on the nature of the remote functionality and the conditions of the preparation methods. Suitable amino-protecting groups include acetyl, trifluoroacetyl, t-butoxycarbonyl (BOC), benzyloxycarbonyl (CBz or CBZ) and 9-fluorenylmethyleneoxycarbonyl (Fmoc). The need for such protection is readily determined by one skilled in the art. For a general description of protecting groups and their use, see T. W. Greene, Protective Groups in Organic Synthesis, John Wiley & Sons, New York, 1991.

The General Procedures and Examples provide exemplary methods for preparing PACs and compounds described herein. Those skilled in the art will appreciate that other synthetic routes may be used to synthesize the PACs and compounds. Although specific starting materials and reagents are depicted and discussed in the Schemes, General Procedures, and Examples, other starting materials and reagents can be easily substituted to provide a variety of derivatives and/or reaction conditions. In addition, many of the exemplary compounds prepared by the described methods can be further modified in light of this disclosure using conventional chemistry well known to those skilled in the art.

Generally, a PAC may be prepared by connecting a PROTAC with a L1 linker reagent according to the procedures of WO 2013/055987; WO 2015/023355; WO 2010/009124; WO 2015/095227, and conjugating it with any of the antibodies or variants, mutations, splice variants, indels and fusions thereof, including cysteine engineered antibodies, described herein. Alternatively, a PAC may be prepared by first connecting an antibody or variant, mutation, splice variant, indel and fusion thereof, including a cysteine engineered antibody, described herein with a L1 linker reagent, and conjugating it with any PROTAC.

The following synthetic routes describe exemplary methods of preparing PACs and components thereof. Other synthetic routes for preparing PACs and components thereof are disclosed elsewhere herein.

1. Linker L1

With respect to Linker L1, Schemes 1-4 depict synthesis routes to exemplary linkers L1 for disulfide attachment to antibody Ab. The Ab is connected to L1 through a disulfide bond and the PROTAC is connected to L1 through any available attachment on the PROTAC.

Referring to Scheme 1, 1,2-Di(pyridin-2-yl)disulfane and 2-mercaptoethanol were reacted in pyridine and methanol at room temperature to give 2-(pyridin-2-yldisulfanyl)ethanol. Acylation with 4-nitrophenyl carbonochloridate in triethylamine and acetonitrile gave 4-nitrophenyl 2-(pyridin-2-yldisulfanyl)ethyl carbonate 9.

Referring to Scheme 2, to a mixture of 1,2-bis(5-nitropyridin-2-yl)disulfane 10 (1.0 g, 3.22 mmol) in anhydrous DMF/MeOH (25 mL/25 mL) was added HOAc (0.1 mL), followed by 2-aminoethanethiol hydrochloride 11 (183 mg, 1.61 mmol). After the reaction mixture was stirred at r.t. overnight, it was concentrated under vacuum to remove the solvent, and the residue was washed with DCM (30 mL×4) to afford 2-((5-nitropyridin-2-yl)disulfanyl)ethanamine hydrochloride 12 as pale yellow solid (300 mg, 69.6%). ¹H NMR (400 MHz, DMSO-d₆) δ 9.28 (d, J=2.4 Hz, 1H), 8.56 (dd, J=8.8, 2.4 Hz, 1H), 8.24 (s, 4H), 8.03 (d, J=8.8 Hz, 1H), 3.15-3.13 (m, 2H), 3.08-3.06 (m, 2H).

Referring to Scheme 3, a solution of 1,2-bis(5-nitropyridin-2-yl)disulfane 10 (9.6 g, 30.97 mmol) and 2-mercaptoethanol (1.21 g, 15.49 mmol) in anhydrous DCM/CH₃OH (250 mL/250 mL) was stirred at r.t. under N₂ for 24 h. After the mixture was concentrated under vacuum, and the residue was diluted with DCM (300 mL). MnO₂ (10 g) was added and the mixture was stirred at r.t. for another 0.5 h. The mixture was purified by column chromatography on silica gel (DCM/MeOH=100/1 to 100/1) to afford 2-((5-nitropyridin-2-yl)disulfanyl)ethanol 13 (2.2 g, 61.1%) as brown oil. ¹H NMR (400 MHz, CDCl₃) δ 9.33 (d, J=2.8 Hz, 1H), 8.38-8.35 (dd, J=9.2, 2.8 Hz, 1H), 7.67 (d, J=9.2 Hz, 1H), 4.10 (t, J=7.2 Hz, 1H), 3.81-3.76 (q, 2H), 3.01 (t, J=5.2 Hz, 2H).

To a solution of 13 (500 mg, 2.15 mmol) in anhydrous DMF (10 mL) was added DIEA (834 mg, 6.45 mmol), followed by PNP carbonate (bis(4-nitrophenyl) carbonate, 1.31 g, 4.31 mmol). The reaction solution was stirred at r.t for 4 h and the mixture was purified by prep-HPLC (FA) to afford 4-nitrophenyl 2-((5-nitropyridin-2-yl)disulfanyl)ethyl carbonate 14 (270 mg, 33.1%) as light brown oil. ¹H NMR (400 MHz, CDCl₃) δ 9.30 (d, J=2.4 Hz, 1H), 8.43-8.40 (dd, J=8.8, 2.4 Hz, 1H), 8.30-8.28 (m, 2H), 7.87 (d, J=8.8 Hz, 1H), 7.39-7.37 (m, 2H), 4.56 (t, J=6.4 Hz, 2H), 3.21 (t, J=6.4 Hz, 2H).

Referring to Scheme 4, sulfuryl chloride (2.35 mL of a 1.0M solution in DCM, 2.35 mmol) was added drop-wise to a stirred suspension of 5-nitropyridine-2-thiol (334 mg, 2.14 mmol) in dry DCM (7.5 mL) at 0° C. (ice/acetone) under an argon atmosphere. The reaction mixture turned from a yellow suspension to a yellow solution and was allowed to warm to room temperature then stirred for 2 hours after which time the solvent was removed by evaporation in vacuo to provide a yellow solid. The solid was re-dissolved in DCM (15 mL) and treated drop-wise with a solution of (R)-2-mercaptopropan-1-ol (213 mg, 2.31 mmol) in dry DCM (7.5 mL) at 0° C. under an argon atmosphere. The reaction mixture was allowed to warm to room temperature and stirred for 20 hours at which point analysis by LC/MS revealed substantial product formation at retention time 1.41 minutes (ES+) m/z 247 ([M+H]⁺, ˜100% relative intensity). The precipitate was removed by filtration and the filtrate evaporated in vacuo to give an orange solid which was treated with H₂O (20 mL) and basified with ammonium hydroxide solution. The mixture was extracted with DCM (3×25 mL) and the combined extracts washed with H₂O (20 mL), brine (20 mL), dried (MgSO₄), filtered and evaporated in vacuo to give the crude product. Purification by flash chromatography (gradient elution in 1% increments: 100% DCM to 98:2 v/v DCM/MeOH) gave (R)-2-((5-nitropyridin-2-yl)disulfanyl)propan-1-ol 15 as an oil (111 mg, 21% yield).

To a solution of triphosgene, Cl₃COCOOCCl₃, Sigma Aldrich, CAS Reg. No. 32315-10-9 (241 mg, 0.812 mmol) in DCM (10 mL) was added a solution of (R)-2-((5-nitropyridin-2-yl)disulfanyl)propan-1-ol 15 (500 mg, 2.03 mmol) and pyridine (153 mg, 1.93 mmol) in DCM (10 mL) dropwise at 20° C. After the reaction mixture was stirred at 20° C. for 30 min, it was concentrated and (R)-2-((5-nitropyridin-2-yl)disulfanyl)propyl carbonochloridate 16 can be used directly without further purification to covalently link through the carbonochloridate group any available group on the PROTAC.

2. Cysteine Engineered Antibodies

With regard to cysteine engineered antibodies for conjugation by reduction and reoxidation, they can be prepared generally as follows. Light chain amino acids are numbered according to Kabat (Kabat et al., Sequences of proteins of immunological interest, (1991) 5th Ed., US Dept of Health and Human Service, National Institutes of Health, Bethesda, MD). Heavy chain amino acids are numbered according to the EU numbering system (Edelman et al (1969) Proc. Natl. Acad. of Sci. 63(1):78-85), except where noted as the Kabat system. Single letter amino acid abbreviations are used.

Full length, cysteine engineered monoclonal antibodies (THIOMAB™ antibodies) expressed in CHO cells bear cysteine adducts (cystines) or are glutathionylated on the engineered cysteines due to cell culture conditions. As is, THIOMAB™ antibodies purified from CHO cells cannot be conjugated to Cys-reactive linker L1-PROTAC intermediates. Cysteine engineered antibodies may be made reactive for conjugation with linker-PROTAC intermediates described herein, by treatment with a reducing agent such as DTT (Cleland's reagent, dithiothreitol) or TCEP (tris(2-carboxyethyl)phosphine hydrochloride; Getz et al (1999) Anal. Biochem. Vol 273:73-80; Soltec Ventures, Beverly, MA) followed by re-formation of the inter-chain disulfide bonds (re-oxidation) with a mild oxidant such as dehydroascorbic acid. Full length, cysteine engineered monoclonal antibodies (THIOMAB™ antibodies) expressed in CHO cells (Gomez et al (2010) Biotechnology and Bioeng. 105(4):748-760; Gomez et al (2010) Biotechnol. Prog. 26:1438-1445) were reduced, for example, with about a 50 fold excess of DTT overnight in 50 mM Tris, pH 8.0 with 2 mM EDTA at room temperature, which removes Cys and glutathione adducts as well as reduces interchain disulfide bonds in the antibody. Removal of the adducts was monitored by reverse-phase LCMS using a PLRP-S column. The reduced THIOMAB™ antibody was diluted and acidified by addition to at least four volumes of 10 mM sodium succinate, pH 5 buffer.

Alternatively, the antibody was diluted and acidified by adding to at least four volumes of 10 mM succinate, pH 5 and titration with 10% acetic acid until pH was approximately five. The pH-lowered and diluted THIOMAB™ antibody was subsequently loaded onto a HiTrap S cation exchange column, washed with several column volumes of 10 mM sodium acetate, pH 5 and eluted with 50 mM Tris, pH 8.0, 150 mM sodium chloride. Disulfide bonds were reestablished between cysteine residues present in the parent Mab by carrying out reoxidation. The eluted reduced THIOMAB™ antibody described above is treated with 15× dehydroascorbic acid (DHAA) for about 3 hours or, alternatively, with 200 nM to 2 mM aqueous copper sulfate (CuSO₄) at room temperature overnight. Other oxidants, i.e. oxidizing agents, and oxidizing conditions, which are known in the art may be used. Ambient air oxidation may also be effective. This mild, partial reoxidation step forms intrachain disulfides efficiently with high fidelity. Reoxidation was monitored by reverse-phase LCMS using a PLRP-S column. The reoxidized THIOMAB™ antibody was diluted with succinate buffer as described above to reach pH approximately 5 and purification on an S column was carried out as described above with the exception that elution was performed with a gradient of 10 mM succinate, pH 5, 300 mM sodium chloride (buffer B) in 10 mM succinate, pH 5 (buffer A). To the eluted THIOMAB™ antibody, EDTA was added to a final concentration of 2 mM and concentrated, if necessary, to reach a final concentration of more than 5 mg/mL. The resulting THIOMAB™ antibody, ready for conjugation, was stored at −20° C. or −80° C. in aliquots. Liquid chromatography/Mass Spectrometric Analysis was performed on a 6200 series TOF or QTOF Agilent LC/MS. Samples were chromatographed on a PRLP-S®, 1000 A, microbore column (50 mm×2.1 mm, Polymer Laboratories, Shropshire, UK) heated to 80° C. A linear gradient from 30-40% B (solvent A: 0.05% TFA in water, solvent B: 0.04% TFA in acetonitrile) was used and the eluent was directly ionized using the electrospray source. Data were collected and deconvoluted by the MassHunter software (Agilent). Prior to LC/MS analysis, antibodies or conjugates (50 micrograms) were treated with PNGase F (2 units/ml; PROzyme, San Leandro, CA) for 2 hours at 37° C. to remove N-linked carbohydrates.

Alternatively, antibodies or conjugates were partially digested with LysC (0.25 μg per 50 μg (microgram) antibody or conjugate) for 15 minutes at 37° C. to give a Fab and Fc fragment for analysis by LCMS. Peaks in the deconvoluted LCMS spectra were assigned and quantitated. PROTAC-to-antibody ratios (PAR) were calculated by calculating the ratio of intensities of the peak or peaks corresponding to PROTAC-conjugated antibody relative to all peaks observed.

3. Conjugation of Linker L1-PROTAC Group to Antibodies

In one method of conjugating Linker L1-PROTAC compounds to antibodies, after the reduction and reoxidation procedures above, the cysteine-engineered antibody (THIOMAB™ antibody), in 10 mM succinate, pH 5, 150 mM NaCl, 2 mM EDTA, is pH-adjusted to pH 7.5-8.5 with 1M Tris. An excess, from about 3 molar to 20 equivalents of a linker-PROTAC intermediate with a thiol-reactive group (e.g., maleimide or 4-nitropyridy disulfide), is dissolved in DMF, DMA or propylene glycol and added to the reduced, reoxidized, and pH-adjusted antibody. The reaction is incubated at room temperature or 37 C and monitored until completion (1 to about 24 hours), as determined by LC-MS analysis of the reaction mixture. When the reaction is complete, the conjugate is purified by one or any combination of several methods, the goal being to remove remaining unreacted linker-PROTAC intermediate and aggregated protein (if present at significant levels). For example, the conjugate may be diluted with 10 mM histidine-acetate, pH 5.5 until final pH is approximately 5.5 and purified by S cation exchange chromatography using either HiTrap S columns connected to an Akta purification system (GE Healthcare) or S maxi spin columns (Pierce). Alternatively, the conjugate may be purified by gel filtration chromatography using an S200 column connected to an Akta purification system or Zeba spin columns. Alternatively, dialysis may be used. The THIOMAB™ antibody PROTAC conjugates were formulated into 20 mM His/acetate, pH 5, with 240 mM sucrose using either gel filtration or dialysis. The purified conjugate is concentrated by centrifugal ultrafiltration and filtered through a 0.2-μm filter under sterile conditions and frozen for storage. The PACs were characterized by BCA assay to determine protein concentration, analytical SEC (size-exclusion chromatography) for aggregation analysis and LC-MS after treatment with Lysine C endopeptidase (LysC) to calculate PAR.

Size exclusion chromatography is performed on conjugates using a Shodex KW802.5 column in 0.2M potassium phosphate pH 6.2 with 0.25 mM potassium chloride and 15% IPA at a flow rate of 0.75 ml/min. Aggregation state of the conjugate was determined by integration of eluted peak area absorbance at 280 nm.

LC-MS analysis may be performed on PAC using an Agilent QTOF 6520 ESI instrument. As an example, the PAR is treated with 1:500 w/w Endoproteinase Lys C (Promega) in Tris, pH 7.5, for 30 min at 37° C. The resulting cleavage fragments are loaded onto a 1000A (Angstrom), 8 μm (micron) PLRP-S (highly cross-linked polystyrene) column heated to 80° C. and eluted with a gradient of 30% B to 40% B in 5 minutes. Mobile phase A was H₂O with 0.05% TFA and mobile phase B was acetonitrile with 0.04% TFA. The flow rate was 0.5 ml/min. Protein elution was monitored by UV absorbance detection at 280 nm prior to electrospray ionization and MS analysis. Chromatographic resolution of the unconjugated Fc fragment, residual unconjugated Fab and drugged Fab was usually achieved. The obtained m/z spectra were deconvoluted using Mass Hunter™ software (Agilent Technologies) to calculate the mass of the antibody fragments.

V. Formulations

Pharmaceutical formulations of therapeutic PROTAC-antibody-conjugates (PACs) as described herein can be prepared for parenteral administration, e.g., bolus, intravenous, intratumor injection with a pharmaceutically acceptable parenteral vehicle and in a unit dosage injectable form. A PAC having the desired degree of purity is optionally mixed with one or more pharmaceutically acceptable excipients (Remington's Pharmaceutical Sciences (1980) 16th edition, Osol, A. Ed.), in the form of a lyophilized formulation for reconstitution or an aqueous solution.

PACs can be formulated in accordance with standard pharmaceutical practice as a pharmaceutical composition. According to this aspect, there is provided a pharmaceutical composition comprising a PAC in association with one or more pharmaceutically acceptable excipients.

A typical formulation is prepared by mixing PACs with excipients, such as carriers and/or diluents. Suitable carriers, diluents and other excipients are well known to those skilled in the art and include materials such as carbohydrates, waxes, water soluble and/or swellable polymers, hydrophilic or hydrophobic materials, gelatin, oils, solvents, water and the like. The particular carrier, diluent or other excipient used will depend upon the means and purpose for which the PAC is being applied. Solvents are generally selected based on solvents recognized by persons skilled in the art as safe (GRAS) to be administered to a mammal.

In general, safe solvents are non-toxic aqueous solvents such as water and other non-toxic solvents that are soluble or miscible in water. Suitable aqueous solvents include water, ethanol, propylene glycol, polyethylene glycols (e.g., PEG 400, PEG 300), etc. and mixtures thereof. Acceptable diluents, carriers, excipients and stabilizers are nontoxic to recipients at the dosages and concentrations employed, and include buffers such as phosphate, citrate and other organic acids; antioxidants including ascorbic acid and methionine; preservatives (such as octadecyldimethylbenzyl ammonium chloride; hexamethonium chloride; benzalkonium chloride, benzethonium chloride; phenol, butyl or benzyl alcohol; alkyl parabens such as methyl or propyl paraben; catechol; resorcinol; cyclohexanol; 3-pentanol; and m-cresol); low molecular weight (less than about 10 residues) polypeptides; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, histidine, arginine, or lysine; monosaccharides, disaccharides and other carbohydrates including glucose, mannose, or dextrins; chelating agents such as EDTA; sugars such as sucrose, mannitol, trehalose or sorbitol; salt-forming counter-ions such as sodium; metal complexes (e.g., Zn-protein complexes); and/or non-ionic surfactants such as TWEEN™, PLURONICS™ or polyethylene glycol (PEG).

The formulations may also include one or more buffers, stabilizing agents, surfactants, wetting agents, lubricating agents, emulsifiers, suspending agents, preservatives, antioxidants, opaquing agents, glidants, processing aids, colorants, sweeteners, perfuming agents, flavoring agents and other known additives to provide an elegant presentation of the PAC or aid in the manufacturing of the pharmaceutical product. The formulations may be prepared using conventional dissolution and mixing procedures.

Formulation may be conducted by mixing at ambient temperature at the appropriate pH, and at the desired degree of purity, with physiologically acceptable carriers, i.e., carriers that are non-toxic to recipients at the dosages and concentrations employed. The pH of the formulation depends mainly on the particular use and the concentration of compound, but may range from about 3 to about 8. Formulation in an acetate buffer at pH 5 is a suitable embodiment.

The PAC formulations can be sterile. In particular, formulations to be used for in vivo administration must be sterile. Such sterilization is readily accomplished by filtration through sterile filtration membranes.

The PAC ordinarily can be stored as a solid composition, a lyophilized formulation or as an aqueous solution.

The pharmaceutical compositions comprising a PAC can be formulated, dosed and administered in a fashion, i.e., amounts, concentrations, schedules, course, vehicles and route of administration, consistent with good medical practice. Factors for consideration in this context include the particular disorder being treated, the particular mammal being treated, the clinical condition of the individual patient, the cause of the disorder, the site of delivery of the agent, the method of administration, the scheduling of administration, and other factors known to medical practitioners. The “therapeutically effective amount” of the compound to be administered will be governed by such considerations, and is the minimum amount necessary to prevent, ameliorate, or treat the coagulation factor mediated disorder. Such amount is preferably below the amount that is toxic to the host or renders the host significantly more susceptible to bleeding.

The PAC can be formulated into pharmaceutical dosage forms to provide an easily controllable dosage of the drug and to enable patient compliance with the prescribed regimen. The pharmaceutical composition (or formulation) for application may be packaged in a variety of ways depending upon the method used for administering the drug. Generally, an article for distribution includes a container having deposited therein the pharmaceutical formulation in an appropriate form. Suitable containers are well known to those skilled in the art and include materials such as bottles (plastic and glass), sachets, ampoules, plastic bags, metal cylinders, and the like. The container may also include a tamper-proof assemblage to prevent indiscreet access to the contents of the package. In addition, the container has deposited thereon a label that describes the contents of the container. The label may also include appropriate warnings.

The pharmaceutical compositions may be in the form of a sterile injectable preparation, such as a sterile injectable aqueous or oleaginous suspension. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally acceptable diluent or solvent, such 1,3-butanediol. The sterile injectable preparation may also be prepared as a lyophilized powder. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile fixed oils may conventionally be employed as a solvent or suspending medium. For this purpose any bland fixed oil may be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid may likewise be used in the preparation of injectables.

The amount of PAC that may be combined with the carrier material to produce a single dosage form will vary depending upon the host treated and the particular mode of administration. For example, a time-release formulation intended for oral administration to humans may contain approximately 1 to 1000 mg of active material compounded with an appropriate and convenient amount of carrier material which may vary from about 5 to about 95% of the total compositions (weight:weight). The pharmaceutical composition can be prepared to provide easily measurable amounts for administration. For example, an aqueous solution intended for intravenous infusion may contain from about 3 to 500 μg of the active ingredient per milliliter of solution in order that infusion of a suitable volume at a rate of about 30 mL/hr can occur.

Formulations suitable for parenteral administration include aqueous and non-aqueous sterile injection solutions which may contain anti-oxidants, buffers, bacteriostats and solutes which render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents.

The formulations may be packaged in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example water, for injection immediately prior to use. Extemporaneous injection solutions and suspensions are prepared from sterile powders, granules and tablets of the kind previously described. Preferred unit dosage formulations are those containing a daily dose or unit daily sub-dose, as herein above recited, or an appropriate fraction thereof, of the active ingredient.

The subject matter further provides veterinary compositions comprising at least one active ingredient as above defined together with a veterinary carrier therefore. Veterinary carriers are materials useful for the purpose of administering the composition and may be solid, liquid or gaseous materials which are otherwise inert or acceptable in the veterinary art and are compatible with the active ingredient. These veterinary compositions may be administered parenterally or by any other desired route.

VI. Indications and Methods of Treatment

It is contemplated that the PROTAC-antibody conjugates (PAC) disclosed herein may be used to treat various diseases or disorders. Exemplary hyperproliferative disorders include benign or malignant solid tumors and hematological disorders such as leukemia and lymphoid malignancies. Others include neuronal, glial, astrocytal, hypothalamic, glandular, macrophagal, epithelial, stromal, blastocoelic, inflammatory, angiogenic and immunologic, including autoimmune, disorders.

Generally, the disease or disorder to be treated is a hyperproliferative disease such as cancer. Examples of cancer to be treated herein include, but are not limited to, carcinoma, lymphoma, blastoma, sarcoma, and leukemia or lymphoid malignancies. More particular examples of such cancers include squamous cell cancer (e.g. epithelial squamous cell cancer), lung cancer including small-cell lung cancer, non-small cell lung cancer, adenocarcinoma of the lung and squamous carcinoma of the lung, cancer of the peritoneum, hepatocellular cancer, gastric or stomach cancer including gastrointestinal cancer, pancreatic cancer, glioblastoma, cervical cancer, ovarian cancer, liver cancer, bladder cancer, hepatoma, breast cancer, colon cancer, rectal cancer, colorectal cancer, endometrial or uterine carcinoma, salivary gland carcinoma, kidney or renal cancer, prostate cancer, vulval cancer, thyroid cancer, hepatic carcinoma, anal carcinoma, penile carcinoma, as well as head and neck cancer.

Autoimmune diseases for which the PAC may be used in treatment include rheumatologic disorders (such as, for example, rheumatoid arthritis, Sjögren's syndrome, scleroderma, lupus such as systemic lupus erythematosus (SLE) and lupus nephritis, polymyositis/dermatomyositis, cryoglobulinemia, anti-phospholipid antibody syndrome, and psoriatic arthritis), osteoarthritis, autoimmune gastrointestinal and liver disorders (such as, for example, inflammatory bowel diseases (e.g., ulcerative colitis and Crohn's disease), autoimmune gastritis and pernicious anemia, autoimmune hepatitis, primary biliary cirrhosis, primary sclerosing cholangitis, and celiac disease), vasculitis (such as, for example, ANCA-associated vasculitis, including Churg-Strauss vasculitis, Wegener's granulomatosis, and polyarteriitis), autoimmune neurological disorders (such as, for example, multiple sclerosis, opsoclonus myoclonus syndrome, myasthenia gravis, neuromyelitis optica, Parkinson's disease, Alzheimer's disease, and autoimmune polyneuropathies), renal disorders (such as, for example, glomerulonephritis, Goodpasture's syndrome, and Berger's disease), autoimmune dermatologic disorders (such as, for example, psoriasis, urticaria, hives, pemphigus vulgaris, bullous pemphigoid, and cutaneous lupus erythematosus), hematologic disorders (such as, for example, thrombocytopenic purpura, thrombotic thrombocytopenic purpura, post-transfusion purpura, and autoimmune hemolytic anemia), atherosclerosis, uveitis, autoimmune hearing diseases (such as, for example, inner ear disease and hearing loss), Behcet's disease, Raynaud's syndrome, organ transplant, and autoimmune endocrine disorders (such as, for example, diabetic-related autoimmune diseases such as insulin-dependent diabetes mellitus (IDDM), Addison's disease, and autoimmune thyroid disease (e.g., Graves' disease and thyroiditis)). More preferred such diseases include, for example, rheumatoid arthritis, ulcerative colitis, ANCA-associated vasculitis, lupus, multiple sclerosis, Sjögren's syndrome, Graves' disease, IDDM, pernicious anemia, thyroiditis, and glomerulonephritis.

In certain embodiments, a PAC comprising an anti-NaPi2b antibody, such as those described above, is used in a method of treating solid tumor, e.g., ovarian.

In another embodiment, a PAC an anti-CD33 antibody, such as those described herein, is used in a method of treating hematological malignancies such as non-Hodgkin's lymphoma (NHL), diffuse large hematopoietic lymphoma, follicular lymphoma, mantle cell lymphoma, chronic lymphocytic leukemia, multiple myeloma, acute myeloid leukemia (AML), and myeloid cell leukemia (MCL), and including B-cell related cancers and proliferative disorders. See: U.S. Pat. No. 8,226,945; Li et al (2013) Mol. Cancer. Ther. 12(7):1255-1265; Polson et al (2010) Leukemia 24:1566-1573; Polson et al (2011) Expert Opin. Investig. Drugs 20(1):75-85.

In another embodiment, a PAC comprising an anti-MUC16 antibody, such as those described herein, is used in a method of treating ovarian, breast and pancreatic cancers. The cancer may be associated with the expression or activity of a MUC16/CA125/0772P polypeptide. See: WO 2007/001851; U.S. Pat. Nos. 7,989,595; 8,449,883; 7,723,485; Chen et al (2007) Cancer Res. 67(10): 4924-4932; Junutula, et al., (2008) Nature Biotech., 26(8):925-932.

In certain embodiments, a PAC comprising an anti-HER2 antibody, such as those described above, is used in a method of treating cancer, e.g., breast or gastric cancer, more specifically HER2+ breast or gastric cancer, wherein the method comprises administering such PAC to a patient in need of such treatment. In one such embodiment, the PAC comprises the anti-HER2 antibody trastuzumab or pertuzumab.

A PAC may be administered by any route appropriate to the condition to be treated. The PAC will typically be administered parenterally, i.e. infusion, subcutaneous, intramuscular, intravenous, intradermal, intrathecal and epidural.

A PAC can be used either alone or in combination with other agents in a therapy. For instance, a PAC may be co-administered with at least one additional therapeutic agent. Such combination therapies noted above encompass combined administration (where two or more therapeutic agents are included in the same or separate formulations), and separate administration, in which case, administration of the PAC can occur prior to, simultaneously, and/or following, administration of the additional therapeutic agent and/or adjuvant. A PAC can also be used in combination with radiation therapy.

A PAC (and any additional therapeutic agent) can be administered by any suitable means, including parenteral, intrapulmonary, and intranasal, and, if desired for local treatment, intralesional administration. Parenteral infusions include intramuscular, intravenous, intraarterial, intraperitoneal, or subcutaneous administration. Dosing can be by any suitable route, e.g. by injections, such as intravenous or subcutaneous injections, depending in part on whether the administration is brief or chronic. Various dosing schedules including but not limited to single or multiple administrations over various time-points, bolus administration, and pulse infusion are contemplated herein.

For the prevention or treatment of disease, the appropriate dosage of a PAC (when used alone or in combination with one or more other additional therapeutic agents) will depend on the type of disease to be treated, the type of PAC, the severity and course of the disease, whether the PAC is administered for preventive or therapeutic purposes, previous therapy, the patient's clinical history and response to the PAC, and the discretion of the attending physician. The PAC is suitably administered to the patient at one time or over a series of treatments. Depending on the type and severity of the disease, about 1 μg/kg to 15 mg/kg (e.g. 0.1 mg/kg-10 mg/kg) of a PAC can be an initial candidate dosage for administration to the patient, whether, for example, by one or more separate administrations, or by continuous infusion. One typical daily dosage might range from about 1 μg/kg to 100 mg/kg or more, depending on the factors mentioned above. For repeated administrations over several days or longer, depending on the condition, the treatment would generally be sustained until a desired suppression of disease symptoms occurs. One exemplary dosage of a PAC would be in the range from about 0.05 mg/kg to about 10 mg/kg. Thus, one or more doses of about 0.5 mg/kg, 2.0 mg/kg, 4.0 mg/kg or 10 mg/kg (or any combination thereof) may be administered to the patient. Such doses may be administered intermittently, e.g. every week or every three weeks (e.g. such that the patient receives from about two to about twenty, or e.g. about six doses). An initial higher loading dose, followed by one or more lower doses may be administered. However, other dosage regimens may be useful. The progress of this therapy is easily monitored by conventional techniques and assays.

VII. Articles of Manufacture

In another aspect, described herein are articles of manufacture, for example, a “kit”, containing materials useful for the treatment of the diseases and disorders described above is provided. The kit comprises a container comprising a PAC. The kit may further comprise a label or package insert, on or associated with the container. The term “package insert” is used to refer to instructions customarily included in commercial packages of therapeutic products, that contain information about the indications, usage, dosage, administration, contraindications and/or warnings concerning the use of such therapeutic products.

Suitable containers include, for example, bottles, vials, syringes, blister pack, etc. A “vial” is a container suitable for holding a liquid or lyophilized preparation. In one embodiment, the vial is a single-use vial, e.g. a 20-cc single-use vial with a stopper. The container may be formed from a variety of materials such as glass or plastic. The container may hold a PAC or a formulation thereof which is effective for treating the condition and may have a sterile access port (for example, the container may be an intravenous solution bag or a vial having a stopper pierceable by a hypodermic injection needle).

At least one active agent in the composition is a PAC. The label or package insert indicates that the composition is used for treating the condition of choice, such as cancer. In addition, the label or package insert may indicate that the patient to be treated is one having a disorder such as a hyperproliferative disorder, neurodegeneration, cardiac hypertrophy, pain, migraine or a neurotraumatic disease or event. In one embodiment, the label or package inserts indicates that the composition comprising a PAC can be used to treat a disorder resulting from abnormal cell growth. The label or package insert may also indicate that the composition can be used to treat other disorders. Alternatively, or additionally, the article of manufacture may further comprise a second container comprising a pharmaceutically acceptable buffer, such as bacteriostatic water for injection (BWFI), phosphate-buffered saline, Ringer's solution and dextrose solution. It may further include other materials desirable from a commercial and user standpoint, including other buffers, diluents, filters, needles, and syringes.

The kit may further comprise directions for the administration of the PAC and, if present, the second pharmaceutical formulation. For example, if the kit comprises a first composition comprising a PAC, and a second pharmaceutical formulation, the kit may further comprise directions for the simultaneous, sequential or separate administration of the first and second pharmaceutical compositions to a patient in need thereof.

In another embodiment, the kits are suitable for the delivery of solid oral forms of a PAC, such as tablets or capsules. Such a kit preferably includes a number of unit dosages. Such kits can include a card having the dosages oriented in the order of their intended use. An example of such a kit is a “blister pack”. Blister packs are well known in the packaging industry and are widely used for packaging pharmaceutical unit dosage forms. If desired, a memory aid can be provided, for example in the form of numbers, letters, or other markings or with a calendar insert, designating the days in the treatment schedule in which the dosages can be administered.

According to one embodiment, a kit may comprise (a) a first container with a PAC contained therein; and optionally (b) a second container with a second pharmaceutical formulation contained therein, wherein the second pharmaceutical formulation comprises a second compound with anti-hyperproliferative activity. Alternatively, or additionally, the kit may further comprise a third container comprising a pharmaceutically-acceptable buffer, such as bacteriostatic water for injection (BWFI), phosphate-buffered saline, Ringer's solution and dextrose solution. It may further include other materials desirable from a commercial and user standpoint, including other buffers, diluents, filters, needles, and syringes.

In certain other embodiments wherein the kit comprises a PAC and a second therapeutic agent, the kit may comprise a container for containing the separate compositions such as a divided bottle or a divided foil packet; however, the separate compositions may also be contained within a single, undivided container. Typically, the kit comprises directions for the administration of the separate components. The kit form is particularly advantageous when the separate components are preferably administered in different dosage forms (e.g., oral and parenteral), are administered at different dosage intervals, or when titration of the individual components of the combination is desired by the prescribing physician.

The following examples are offered by way of illustration and not by way of limitation.

EXAMPLES Example 1 Syntheses of a PAC A. Chemical Synthesis of a PROTAC

i. Attachment of a Linker (L2) to an E3 Ligase Binding Group (E3LB)

Methyl 4-[[(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]benzoate

To a solution of tert-butyl N-[(1S)-1-[[(3S,4S)-7-cyano-1-[(2-methoxynaphthalen-1-yl)methyl]-4-methyl-2-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-3-yl]carbamoyl]ethyl]-N-methylcarbamate (3.00 g, 5.25 mmol) in 1,2-dichloroethane (50 mL) was added triethylamine (2.6 g, 25.7 mmol) and methyl 4-(carbonochloridoyl)benzoate (3.10 g, 15.61 mmol) under nitrogen. The resulting solution was stirred for 5 h at 80° C. and allowed to cool to room temperature. Water (100 mL) was added. The resulting solution was extracted with 3×100 mL of dichloromethane and the organic layers combined and dried over anhydrous sodium sulfate and concentrated under vacuum. The residue was purified by flash chromatography on silica gel eluting with ethyl acetate/petroleum ether (1:1). This resulted in 3.10 g (81%) of methyl 4-[[(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]benzoate as a brown solid. MS (ESI): [M+H]+=734.4.

4-[[(2S,3S)-3-[(2S)-2-[[(Tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]benzoic acid

Aqueous LiOH solution (30 mL, 1 M) was added to a solution of methyl 4-[[(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]benzoate (3.10 g, 4.22 mmol) in tetrahydrofuran (30 mL) at room temperature. The resulting solution was stirred for 5 h at room temperature. Ethyl ether (20 mL) was added. Phases were separated. The aqueous phase was acidified with 1 N HCl solution until pH about 7. The resulting mixture was extracted with 2×80 mL of ethyl acetate and the organic layers were combined and dried over anhydrous sodium sulfate and concentrated under vacuum. This resulted in 2.5 g of 4-[[(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]benzoic acid as a brown solid. MS (ESI): [M+H]+=720.5.

Methyl 2-(2-(2-aminoethoxy)ethoxy)acetate hydrochloride

To a solution of 2-[2-(2-aminoethoxy)ethoxy]acetic acid hydrochloride (500 mg, 2.505 mmol) in 2,2-dimethoxypropane (5 mL, 40.327 mmol) was added dropwise concentrated HCl (0.2 mL) at room temperature. The reaction mixture was stirred for 15 h at 25° C. and concentrated under vacuum. The residue was used directly without further purification.

Methyl 2-(2-[2-[(4-[[(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]phenyl)formamido]ethoxy]ethoxy)acetate

To a solution of [(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]benzoic acid (500 mg, 0.695 mmol) in N,N-dimethylformamide (6 mL) was added crude methyl 2-[2-(2-aminoethoxy)ethoxy]acetate HCl salt from the previous step (500 mg), HATU (528 mg, 1.389 mmol) and DIPEA (897 mg, 6.94 mmol) under nitrogen at room temperature. The resulting solution was stirred for 1 hour at 25° C., and quenched with water. The resulting solution was extracted with dichloromethane and the organic layers combined. The organic phases were washed with brine and dried over anhydrous sodium sulfate and concentrated under vacuum. The residue was purified by flash chromatography on silica gel eluting with dichloromethane/methanol (20:1). This resulted in 550 mg (90%) of methyl 2-(2-[2-[(4-[[(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]phenyl)formamido]ethoxy]ethoxy)acetate as a yellow solid. MS (ESI): [M+H]+=879.5.

2-(2-[2-[(4-[[(2S,3S)-3-[(2S)-2-[[(Tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]phenyl)formamido]ethoxy]ethoxy)acetic acid

To a solution of methyl 2-(2-[2-[(4-[[(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]phenyl)formamido]ethoxy]ethoxy)acetate (500 mg, 0.569 mmol) in tetrahydrofuran (8 mL) was added a solution of lithium hydroxide monohydrate (95 mg, 2.26 mmol) in water (1 mL) at room temperature. The mixture was stirred for 1 hour at 25° C. The mixture was diluted with water and acidified with 1 N citric acid to pH about 4, extracted with ethyl acetate (2×). The organic phases were combined and washed with brine, dried over sodium sulfate, and concentrated under reduced pressure. The residue was purified by reverse phase flash chromatography on C18 silica gel, mobile phase: 5 mM aqueous NH₄HCO₃ and CH₃CN (0-95%) to afford 370 mg (75%) of 2-(2-[2-[(4-[[(2S,3S)-3-[(2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]propanamido]-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]phenyl)formamido]ethoxy]ethoxy)acetic acid as a white solid. MS (ESI): [M+H]+=865.5. ¹H NMR (400 MHz, DMSO-d₆): δ (ppm) 8.70 (d, J=8.6 Hz, 1H), 8.46 (t, J=5.5 Hz, 1H), 8.21 (d, J=8.7 Hz, 1H), 8.10 (d, J=8.6 Hz, 1H), 7.95 (d, J=9.1 Hz, 1H), 7.89 (dd, J=8.6, 1.9 Hz, 1H), 7.69 (d, J=8.1 Hz, 1H), 7.50 (d, J=9.2 Hz, 1H), 7.30 (m, 1H), 7.18 (d, J=1.9 Hz, 1H), 7.13 (t, J=7.5 Hz, 1H), 7.00 (d, J=8.1 Hz, 2H), 6.13 (d, J=15.1 Hz, 1H), 5.78 (d, J=8.0 Hz, 2H), 5.51 (d, J=15.0 Hz, 1H), 5.04 (brs, 1H), 4.61-4.52 (m, 1H), 4.22 (dd, J=11.9, 8.5 Hz, 1H), 3.99 (s, 2H), 3.96 (s, 3H), 3.68-3.44 (m, 7H), 3.37 (s, 1H), 2.76 (s, 3H), 1.40-1.31 (m, 12H), 1.12 (d, J=6.1 Hz, 3H).

ii. Attachment of a PB to an E3LB via a Linker (L2)

4-((2S,3S)-8-Cyano-5-((2-methoxynaphthalen-1-yl)methyl)-2-methyl-3-((S)-2-(methylamino)propanamido)-4-oxo-2,3,4,5-tetrahydro-1H-benzo[b][1,4]diazepine-1-carbonyl)-N-(2-(2-(2-((2-(4-(1-(4-hydroxyphenyl)-2-phenylbut-1-en-1-yl)phenoxy)ethyl)(methyl)amino)-2-oxoethoxy)ethoxy)ethyl)benzamide (“compound P1”)

To a solution of 2-[2-[2-[[4-[(3S,4S)-3-[[(2S)-2-[tert-butoxycarbonyl(methyl)amino]propanoyl] amino]-7-cyano-1-[(2-methoxy-1-naphthyl)methyl]-4-methyl-2-oxo-3,4-dihydro-1,5-benzodiazepine-5-carbonyl]benzoyl]amino]ethoxy]ethoxy]acetic acid (74 mg, 0.0855 mmol) in 2-methyltetrahydrofuran (0.855 mL) was added HATU (1.1 equiv., 36.5 mg, 0.0941 mmol) and N,N-diisopropylethylamine (3.0 equiv., 0.045 mL, 0.257 mmol). The mixture was stirred at room temperature for 30 minutes, then a solution of 4-[1-[4-[2-(methylamino)ethoxy]phenyl]-2-phenyl-but-1-enyl]phenol (1.05 equiv., 33.5 mg, 0.0898 mmol) in 2-methyltetrahydrofuran (60, 0.5 mL, 400 mg, 5 mmol) was added, followed by 0.2 mL DMF. The mixture was stirred at room temperature for 22 h. Water was added and the solution was extracted 3 times with iPrOAc. The organic layers were combined then dried with sodium sulfate and concentrated in vacuo.

The crude material was dissolved in dichloromethane (0.85 mL) and trifluoroacetic acid (0.26 mL) was added dropwise. The reaction was stirred at room temperature until no gas evolution was observed. After 1 h, the solution was concentrated in vacuo and purified by reverse-phase HPLC to obtain 45 mg (45% yield over 2 steps) of the desired product.

M+H=560.9, 1120.7; δ ¹H NMR (400 MHz, DMSO-d6) δ 9.39, 9.14 (overlapping s, 1H), 8.85-8.70 (m, 1H), 8.44-8.36 (m, 1H), 8.20 (d, J=8.8 Hz, 1H), 8.10 (d, J=8.6 Hz, 1H), 7.97-7.82 (m, 2H), 7.70-7.64 (m, 1H), 7.50-7.44 (m, 1H), 7.34-7.27 (m, 1H), 7.21-7.04 (m, 9H), 7.03-6.87 (m, 4H), 6.78-6.67 (m, 2H), 6.62-6.54 (m, 2H), 6.44-6.33 (m, 1H), 6.12 (d, J=15.1 Hz, 1H), 5.78 (d, J=8.0 Hz, 2H), 5.52 (d, J=15.0 Hz, 1H), 4.99-4.89 (m, 1H), 4.33-4.04 (m, 4H), 4.00-3.88 (m, 1H), 3.94 (s, 3H), 3.68-3.61 (m, 1H), 3.60-3.42 (m, 5H), 3.38-3.32 (m, 1H), 3.03-2.78 (m, 3H), 2.45-2.35 (m, 2H), 2.32 (s, 3H), 1.23 (d, J=6.4 Hz, 3H), 1.11 (d, J=6.1 Hz, 3H), 0.89-0.76 (m, 4H).

B. Preparation of L1-PROTAC

iii. Attachment of Linker L1 to PROTAC

N-[(1S)-1-[[(1S)-4-(Carbamoylamino)-1-[(4-[4-[(1Z)-1-(4-[2-[2-(2-[2-[(4-[[(2S,3S)-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-3-[(2S)-2-(methylamino)propanamido]-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]phenyl)formamido]ethoxy]ethoxy)-N-methylacetamido]ethoxy]phenyl)-2-phenylbut-1-en-1-yl]phenoxymethyl]phenyl)carbamoyl]butyl]carbamoyl]-2-methylpropyl]-6-(2,5-dioxo-2,5-dihydro-1H-pyrrol-1-yl)hexanamide (“Compound LP2”)

To a solution of (2S)—N-[(3S,4S)-7-cyano-5-[(4-[[2-(2-[[(2-[4-[(1Z)-1-(4-hydroxyphenyl)-2-phenylbut-1-en-1-yl]phenoxy]ethyl)(methyl)carbamoyl]methoxy]ethoxy)ethyl]carbamoyl]phenyl)carbonyl]-1-[(2-methoxynaphthalen-1-yl)methyl]-4-methyl-2-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-3-yl]-2-(methylamino)propanamide (compound P1, 48 mg, 0.043 mmol) and N-[(1S)-1-{[(1S)-4-(carbamoylamino)-1-{[4-(chloromethyl)phenyl]carbamoyl}butyl]carbamoyl}-2-methylpropyl]-6-(2,5-dioxo-2,5-dihydro-1H-pyrrol-1-yl)hexanamide (90 mg, 0.152 mmol) in DMF (0.9 mL) at 0° C. was added K₂CO₃ (60 mg, 0.43 mmol). The reaction mixture was stirred for 4 h at 0° C., and diluted with precooled DMF (0.9 mL). The solid was filtered off. The filtrate was purified by Preparative HPLC with the following conditions: Column, SunFire Prep C18 OBD Column, 19*150 mm Sum, 10 nm; mobile phase, water (0.1% TFA) and CH₃CN (5% CH₃CN up to 48% in 10 min); Detector, UV 254/220 nm to afford 22 mg (31%) of N-[(1S)-1-[[(1S)-4-(carbamoylamino)-1-[(4-[4-[(1Z)-1-(4-[2-[2-(2-[2-[(4-[[(2S,3S)-8-cyano-5-[(2-methoxynaphthalen-1-yl)methyl]-2-methyl-3-[(2S)-2-(methylamino)propanamido]-4-oxo-2,3,4,5-tetrahydro-1H-1,5-benzodiazepin-1-yl]carbonyl]phenyl)formamido]ethoxy]ethoxy)-N-methylacetamido]ethoxy]phenyl)-2-phenylbut-1-en-1-yl]phenoxymethyl]phenyl)carbamoyl]butyl]carbamoyl]-2-methylpropyl]-6-(2,5-dioxo-2,5-dihydro-1H-pyrrol-1-yl)hexanamide as a white solid. MS (ESI): [M+H]+=1675.1; ¹H-NMR (400 MHz, DMSO-d₆): δ (ppm) 10.15 (s, 1H), 9.95-9.72 (m, 1H), 9.52-9.41 (m, 1H), 9.31-9.14 (m, 1H), 8.43 (brs, 1H), 8.20-8.18 (m, 1H), 8.17-8.07 (m, 2H), 7.93 (m, 2H), 7.70 (d, J=8 Hz, 1H), 7.70-7.65 (m, 3H), 7.48-7.42 (m, 2H), 7.41-7.36 (m, 1H), 7.33-7.28 (m, 1H), 7.23 (m, 1H), 7.18-7.07 (m, 7H), 7.02-7.01 (m, 1H), 6.99 (s, 3H), 6.96-6.92 (m, 2H), 6.76-6.67 (m, 2H), 6.60-6.58 (m, 2H), 6.40 (d, J=8.4 Hz, 1H), 6.13-6.08 (m, 1H), 5.99 (s, 1H), 5.80 (d, J=7.6 Hz, 2H), 5.55 (d, J=15.2 Hz, 1H), 5.44 (brs, 1H), 5.02-4.93 (m, 1H), 7.43-4.36 (m, 3H), 4.26-4.02 (m, 6H), 3.95-3.88 (m, 4H), 3.66-3.63 (m, 3H), 3.57-3.53 (m, 4H), 3.39-3.36 (m, 4H), 3.05-2.81 (m, 5H), 2.68 (s, 2H), 2.42-2.39 (m, 3H), 2.22-2.07 (m, 2H), 2.03-1.91 (m, 1H), 1.71 (brs, 2H), 1.62 (brs, 3H), 1.50-1.36 (m, 6H), 1.21-1.17 (m, 5H), 0.87-0.82 (m, 10H).

C. Preparation of PAC

iv. Attachment of Antibody (Ab) to PROTAC via Linker L1

Conjugation of a PROTAC to HER2 and B7H4 antibodies to yield PROTAC-antibody conjugates (PACs) was accomplished as follows.

A cysteine-engineered antibody (THIOMAB™ antibody), in 10 mM succinate, pH 5, 150 mM NaCl, 2 mM EDTA, is pH-adjusted to pH 7.5-8.5 with 1M Tris. Between three and ten equivalents of a linker L1-PROTAC with a thiol-reactive group is dissolved in DMF or DMA and added to the reduced, reoxidized, and pH-adjusted antibody. The reaction is incubated at room temperature or 37° C. and monitored until completion (1 to about 24 hours), as determined by LC-MS analysis of the reaction mixture. When the reaction is complete, the conjugate is purified by one or any combination of several methods, the goal being to remove remaining unreacted linker L1-PROTAC intermediate and aggregated protein (if present at significant levels). For example, the conjugate may be diluted with 10 mM histidine-acetate, pH 5.5 until final pH is approximately 5.5 and purified by S cation exchange chromatography using either HiTrap S columns connected to an Akta purification system (GE Healthcare) or S maxi spin columns (Pierce). Alternatively, the conjugate may be purified by gel filtration chromatography using an S200 column connected to an Akta purification system or Zeba spin columns. Alternatively, dialysis may be used.

The THIOMAB™ antibody PROTAC conjugates were formulated into 20 mM His/acetate, pH 5, with 240 mM sucrose using either gel filtration or dialysis. The purified conjugate is concentrated by centrifugal ultrafiltration and filtered through a 0.2-μm filter under sterile conditions and frozen for storage.

Example 2 Characterization of PACs

The PACs were characterized to determine protein concentration (e.g., by BCA assay), aggregation level (by analytical SEC), PAR (e.g., by LC-MS).

Size exclusion chromatography is performed on conjugates using a Shodex KW802.5 column in 0.2M potassium phosphate pH 6.2 with 0.25 mM potassium chloride and 15% IPA at a flow rate of 0.75 ml/min. Aggregation state of the conjugate was determined by integration of eluted peak area absorbance at 280 nm.

LC-MS analysis is performed on conjugates using an Agilent TOF 6530 ESI instrument. As an example, the PAC is treated with 1:500 w/w Endoproteinase Lys C (Promega) in Tris, pH 7.5, for 30 min at 37° C. The resulting cleavage fragments are loaded onto a 1000A (Angstrom), 8 μm (micron) PLRP-S (highly cross-linked polystyrene) column heated to 80° C. and eluted with a gradient of 30%˜ B to 40% h B in 10 minutes. Mobile phase A was H₂O with 0.05% TFA and mobile phase B was acetonitrile with 0.04% TFA. The flow rate was 0.5 ml/min. Protein elution was monitored by UV absorbance detection at 280 nm prior to electrospray ionization and MS analysis. Chromatographic resolution of the unconjugated Fc fragment, residual unconjugated Fab and PROTAC-conjugated Fab was usually achieved. The obtained m/z spectra were deconvoluted using Mass Hunter™ software (Agilent Technologies) to calculate the mass of the antibody fragments.

TABLE 28 Characterization of several PACs. PAC Formula % Ab-(L1-D)_(p) Aggregate PAC Ab L1 D p (Final) PAC 1 Thio Hu Anti- MC-VC- Com- 2 4.8 Her2 7C2 LC PAB pound P1 K149C PAC 2 Thio Hu Anti- MC-VC- Com- 2 4.7 B7-H4 PAB pound P1 1D11v1.9_VarD LC K149C PAC 3 Thio Hu anti- MC-VC- Com- 2.2 3.4 Her2 7C2 PAB pound P1 LC: K149C PAC 4 Thio Hu Anti- MC-VC- Com- 2.29 2.37 B7-H4 PAB pound P1 1D11v1.9_VarD LC K149C PAC 5 Thio Her2 7C2 MC-VC- Com- 1.7 6.3 HC: A140C PAB pound P1

-   -   MC-VC-PAB refers to         (6-maleimidocaproyl)-(valine-citrulline)-(p-aminobenzyl).     -   Thio means THIOMAB™ antibody.     -   LC K149C means that the K at position 149 has been changed to C         in the light chain     -   Hu means human     -   Anti HER2 and Anti B7-H4 mean antibodies that bind to HER2 and         B7-H4 respectively.

Example 3 Detection of Effects of a HER-2 Containing PAC on Estrogen Receptor Alpha Density

The following experimental describes the detection of estrogen receptor alpha (ER-α) in MCF7-neo/HER2 cell lines by Western blot after treatment with PROTACs and PROTAC-antibody conjugates.

MCF7 cells engineered to express the HER2/NEU receptor were seeded in a 12 well plate with a cell density of 40×10⁴ cells per well. To deplete estradiol, cells were grown in phenol red free RPMI media containing 10% (v/v) charcoal stripped serum (Gemini Bio-products), 4 mM L-glutamine, 100U each of penicillin and streptomycin and nonessential amino acids (Gibco, Life Technologies). After 3 days, cells were trypsinized and re-seeded at half the density.

The following day unconjugated PROTAC or PROTAC conjugated to antibody (PAC) was added to the medium at 10 μg/ml (=134 nM PROTAC) and 1 μg/ml (=13.4 nM PROTAC). After 3 days, cells were washed once with PBS and lysed in 100 μL urea lysis buffer (6M Urea, 20 mM Tris pH7.5, 12.5 mM NaCl, 2.5 mM MgCl₂, 0.1% Triton X-100, protease inhibitor cocktail (Roche)). Total protein concentrations were determined by BCA (ThermoFisher). For each sample, 10 ug of total cellular protein was separated on 4-12% Bis-Tris gel and transferred to Invitrolon PVDF membrane (Thermofisher). Membranes were blocked in PBS-0.1% Tween-20 containing 10% non fat dry milk and probed with primary antibodies against Estrogen Receptor a (Santa Cruz, SC-8002) and GAPDH (Santa Cruz, SC25778 HRP) at 1:1000 dilution followed by secondary antibodies against mouse IgG (GE Healthcare) at 1:5000 dilution.

Protein bands were visualized using chemiluminescence (Perkin Elmer). The results are shown in FIG. 1 .

Example 4 Quantitation of Effects of a HER-2 Containing PAC on Estrogen Receptor Alpha Density

The following experimental describes the quantitation of ERα in MCF7-neo/HER2 cells after treatment with PROTACs and PROTAC-antibody conjugates.

Cell Plating

neoMCF7/HER2 cells (CL130220) were thawed at 37° C. then transferred to growth media (RPMI, 10% Fetal Bovine Serum F2442 (FBS)) by spinning cells down twice at 1200 RCF for three minutes and removing and replacing supernatant with growth media. Cells were then transferred to a 150 cm² flask (Ref: 431465) and grown until confluent. Once confluent, cells were washed once in PBS, PBS aspirated, and 10 ml of 10×0.5% Trypsin (Cat #15400-054) was added to the flask to cover cells. Excess trypsin was immediately aspirated and flask was transferred to 37° C. incubator for 5 min. After incubation 20 ml growth media (phenol red free-RPMI (Cat #11835-030) 10% charcoal stripped-FBS (SKU: F6765)) was added to flask and cell density was determined using a Vicell instrument. Growth media was added to make cellular density of 10,000 cells/0.05 ml. 50 ul of cells were then transferred to each well of two Greiner 384 well plates (Ref: 781946) that were stored overnight in a 37° C. incubator before compound treatment the following day.

Compound Treatment

PACs were thawed at RT and were each diluted to 60 ug/ml in 37 C growth media, followed by a 20-point 2×serial dilution across a 384 well plate (Ref: 781091). 10 ul of each sample from the serial dilution was transferred to the wells of the cell plates. The highest working concentration of the PACs was 10 ug/ml. Cell plate columns 1, 2, 23 and 24 were left untreated for data normalization while Columns 3-22 contained the PAC dilutions. After compound treatment cell plates were stored in a 37 C incubator for 72 h.

Staining

After the 72 h compound treatment, cells were fixed for 30 min with 15 ul of 16% paraformaldehyde (Cat #15710-S) in each well. Contents were aspirated, 50 ul of Permeabilization/Block buffer (PBS, BSA 0.5% (w/v), Triton X100 0.1% (v/v)), was added to each well. After 10 min the Permeabilization/Block buffer was aspirated and washed twice with PBS. Wells were then aspirated and treated with 25 ul 1/1000 of mAb Anti-ESR1 (Clone F10) (Santa Cruz sc-8002) in Permeabilization/Block Buffer and incubated at RT for 2 h before being washed 4× in PBS. Contents of the wells were aspirated again and treated with 25 ul 1/1000 Alexafluor 488 conjugated anti-mouse (LifeTechnologies #A21202) and 1/1000 Hoechst 33258 (Cat #H3569) and incubated for 3 h. Plates were then washed 3× in PBS and sealed.

Data Collection

Cellomics Arrayscan was used to collect the cell count and ERα fluorescence intensity (MeanCircAvgIntenCh2), which is proportional to the amount of ERα present in the nucleus. Data was then normalized to non-treated cell controls, and plotted in GraphPad Prism. GraphPad Prism calculated the EC₅₀s using the “lag (inhibitor) vs. response—Variable Slope” function.

Table 29 reports the IC₅₀ data from the quantitation experiment.

TABLE 29 PAC1 PAC2 Anti-HER2(Endox-XIAP) Anti-B7H4(Endox-XIAP) IC₅₀ (g/ml) 1.32E−07 —

The results are shown in FIG. 2 . Treatment of HER2 expressing cells with HER2 antibody containing PAC Anti-HER2(Endox-XIAP) resulted in a marked decreased Estrogen Receptor-alpha (ERα) levels. Treatment of the HER2 expressing cells with the B7-H4 antibody containing PAC Anti-B7-H4(Endox-XIAP) did not result in a substantial decrease in ERα levels.

Efforts have been made to ensure accuracy with respect to numbers used (e.g. amounts, temperature, etc.) but some experimental errors and deviations should be accounted for.

One skilled in the art will recognize many methods and materials similar or equivalent to those described herein, which could be used in the practicing the subject matter described herein. The present disclosure is in no way limited to just the methods and materials described.

Unless defined otherwise, technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this subject matter belongs, and are consistent with: Singleton et al (1994) Dictionary of Microbiology and Molecular Biology, 2nd Ed., J. Wiley & Sons, New York, NY; and Janeway, C., Travers, P., Walport, M., Shlomchik (2001) Immunobiology, 5th Ed., Garland Publishing, New York.

Throughout this specification and the claims, the words “comprise,” “comprises,” and “comprising” are used in a non-exclusive sense, except where the context requires otherwise. It is understood that embodiments described herein include “consisting of” and/or “consisting essentially of” embodiments.

As used herein, the term “about,” when referring to a value is meant to encompass variations of, in some embodiments ±50%, in some embodiments ±20%, in some embodiments ±10%, in some embodiments ±5%, in some embodiments ±1%, in some embodiments ±0.5%, and in some embodiments ±0.1% from the specified amount, as such variations are appropriate to perform the disclosed methods or employ the disclosed compositions.

Where a range of values is provided, it is understood that each intervening value, to the tenth of the unit of the lower limit, unless the context clearly dictates otherwise, between the upper and lower limit of the range and any other stated or intervening value in that stated range, is encompassed. The upper and lower limits of these small ranges which may independently be included in the smaller rangers is also encompassed, subject to any specifically excluded limit in the stated range. Where the stated range includes one or both of the limits, ranges excluding either or both of those included limits are also included.

Many modifications and other embodiments set forth herein will come to mind to one skilled in the art to which this subject matter pertains having the benefit of the teachings presented in the foregoing descriptions and the associated drawings. Therefore, it is to be understood that the subject matter is not to be limited to the specific embodiments disclosed and that modifications and other embodiments are intended to be included within the scope of the appended claims. Although specific terms are employed herein, they are used in a generic and descriptive sense only and not for purposes of limitation. 

What is claimed is:
 1. A conjugate having the chemical structure Ab-(L1-D)_(p), wherein, D is a PROTAC having the structure E3LB-L2-PB; E3LB is an E3 ligase binding group covalently bound to L2; L2 is a linker covalently bound to E3LB and PB; PB is a protein binding group covalently bound to L2; Ab is an antibody covalently bound to L1; L1 is a linker, covalently bound to Ab and D; and p has a value from about 1 to about
 8. 2. The conjugate of claim 1, wherein E3LB is a group that binds an E3 ligase, wherein said E3 ligase is listed in Tables 13-27.
 3. The conjugate of claim 1, wherein E3LB is a group that binds an E3 ligase, wherein said E3 ligase is selected from the group consisting of von Hippel-Lindau (VHL); cereblon; XIAP; E3A; MDM2; Anaphase-promoting complex (APC); UBR5 (EDD1); SOCS/BC-box/eloBC/CUL5/RING; LNXp80; CBX4; CBLL1; HACE1; HECTD1; HECTD2; HECTD3; HECW1; HECW2; HERC1; HERC2; HERC3; HERC4; HUWE1; ITCH; NEDD4; NEDD4L; PPIL2; PRPF19; PIAS1; PIAS2; PIAS3; PIAS4; RANBP2; RNF4; RBX1; SMURF1; SMURF2; STUB1; TOPORS; TRIP12; UBE3A; UBE3B; UBE3C; UBE4A; UBE4B; UBOX5; UBR5; WWP1; WWP2; Parkin; A20/TNFAIP3; AMFR/gp78; ARA54; beta-TrCP1/BTRC; BRCA1; CBL; CHIP/STUB1; E6; E6AP/UBE3A; F-box protein 15/FBXO15; FBXW7/Cdc4; GRAIL/RNF128; HOIP/RNF31; cIAP-1/HIAP-2; cIAP-2/HIAP-1; cIAP (pan); ITCH/AIP4; KAP1; MARCH8; Mind Bomb 1/MIB1; Mind Bomb 2/MIB2; MuRF1/TRIM63; NDFIP1; NEDD4; NleL; Parkin; RNF2; RNF4; RNF8; RNF168; RNF43; SART1; Skp2; SMURF2; TRAF-1; TRAF-2; TRAF-3; TRAF-4; TRAF-5; TRAF-6; TRIM5; TRIM21; TRIM32; UBR5; and ZNRF3.
 4. The conjugate of claim 1, wherein E3LB is a group that binds an E3 ligase selected from the group consisting of XIAP, VHL, cereblon and MDM2.
 5. The conjugate of claim 1, wherein E3LB is selected from the group consisting of a compound that binds VHL, a hydroxyproline compound that binds VHL, a compound that binds MDM2, a compound that binds cereblon, a tetrahydro-benzodiazepinone a nutlin, thalidomide, lenalidomide, and pomalidomide.
 6. The conjugate of claim 1, wherein E3LB is a XIAP inhibitor that is a tetrahydro-benzodiazepinone having the formula:

wherein, R1, R2, R3, R4 and R5 are as described in WO/2015/071393.
 7. The conjugate of claim 1, wherein PB is a group that binds FoxOl, HDAC, DP-1, E2F, ABL, AMPK, BRK, BRSK I, BRSK2, BTK, CAMKK1, CAMKK alpha, CAMKK beta, Rb, Suv39HI, SCF, p19INK4D, GSK-3, pi 8 INK4, myc, cyclin E, CDK2, CDK9, CDG4/6, Cycline D, p16 INK4A, cdc25A, BMI1, SCF, Akt, CHK1/2, C 1 delta, CK1 gamma, C 2, CLK2, CSK, DDR2, DYRKIA/2/3, EF2K, EPH-A2/A4/B1/B2/B3/B4, EIF2A 3, Smad2, Smad3, Smad4, Smad7, p53, p21 Cipl, PAX, Fyn, CAS, C3G, SOS, Tal, Raptor, RACK-1, CRK, Rapl, Rac, KRas, NRas, HRas, GRB2, FAK, PI3K, spred, Spry, mTOR, MPK, LKB1, PAK 1/2/4/5/6, PDGFRA, PYK2, Src, SRPK1, PLC, PKC, PKA, PKB alpha/beta, PKC alpha/gamma/zeta, PKD, PLK1, PRAK, PRK2, RIPK2, WAVE-2, TSC2, DAPK1, BAD, IMP, C-TAK1, TAK1, TAO1, TBK1, TESK1, TGFBR1, TIE2, TLK1, TrkA, TSSK1, TTBK1/2, TTK, Tpl2/cotl, MEK1, MEK2, PLDL Erk1, Erk2, Erk5, Erk8, p90RSK, PEA-15, SRF, p27 KIP1, TIF 1a, HMGN1, ER81, MKP-3, c-Fos, FGF-R¹, GCK, GSK3 beta, HER4, HIPK1/2/3, IGF-1R, cdc25, UBF, LAMTOR2, Statl, StaO, CREB, JAK, Src, PTEN, NF-kappaB, HECTH9, Bax, HSP70, HSP90, Apaf-1, Cyto c, BCL-2, Bcl-xL, Smac, XIAP, Caspase-9, Caspase-3, Caspase-6, Caspase-7, CDC37, TAB, IKK, TRADD, TRAF2, R1P1, FLIP, TAK1, JNK1/2/3, Lck, A-Raf, B-Raf, C-Raf, MOS, MLK1/3, MN 1/2, MSK1, MST2/3/4, MPSK1, MEKK1, ME K4, MEL, ASK1, MINK1, MKK 1/2/3/4/6/7, NE 2a/6/7, NUAK1, OSR1, SAP, STK33, Syk, Lyn, PDK1, PHK, PIM 1/2/3, Ataxin-1, mTORC1, MDM2, p21 Wafl, Cyclin D1, Lamin A, Tpl2, Myc, catenin, Wnt, IKK-beta, IKK-gamma, IKK-alpha, IKK-epsilon, ELK, p65RelA, IRAKI, IRA 2, IRAK4, IRR, FADD, TRAF6, TRAF3, MKK3, MKK6, ROCK2, RSK1/2, SGK 1, SmMLCK, SIK2/3, ULK1/2, VEGFR1, WNK 1, YES1, ZAP70, MAP4K3, MAP4K5, MAPK1b, MAPKAP-K2 K3, p38 alpha/beta/delta/gamma MAPK, Aurora A, Aurora B, Aurora C, MCAK, Clip, MAPKAPK, FAK, MARK 1/2/3/4, Mucl, SHC, CXCR4, Gap-1, Myc, beta-catenin/TCF, Cbl, BRM, Mcl1, BRD2, BRD3, BRD4, AR, RAS, ErbB3, EGFR, IRE1, HPK1, RIPK2, and ERα, including all variants, mutations, splice variants, indels and fusions thereof.
 8. The conjugate of claim 1, wherein PB is selected from the group consisting of Heat Shock Protein 90 (HSP90) inhibitors, Kinase and Phosphatase inhibitors, MDM2 inhibitors, HDAC inhibitors, Human Lysine Methyltransferase Inhibitors, Angiogenesis inhibitors, Immunosuppressive compounds, and compounds that target: Human BET Bromodomain-containing proteins, the aryl hydrocarbon receptor (AHR), REF receptor kinase, FKBP, Androgen Receptor (AR), Estrogen receptor (ER), Thyroid Hormone Receptor, HIV Protease, HIV Integrase, HCV Protease, and Acyl-protein Thioesterase-1 and -2 (APT1 and APT2).
 9. The conjugate of claim 1, wherein PB is a group that targets Estrogen Receptor alpha (ERa).
 10. The conjugate of claim 1, wherein said Ab is a cysteine engineered antibody or variant thereof.
 11. The conjugate of claim 1, wherein Ab binds to one or more of polypeptides selected from the group consisting of DLL3, EDAR, CLL1; BMPR1B; E16; STEAP1; 0772P; MPF; NaPi2b; Sema 5b; PSCA hlg; ETBR; MSG783; STEAP2; TrpM4; CRIPTO; CD21; CD79b; FcRH2; B7-H4; HER2; NCA; MDP; IL20Rα; Brevican; EphB2R; ASLG659; PSCA; GEDA; BAFF-R; CD22; CD79a; CXCR5; HLA-DOB; P2X5; CD72; LY64; FcRH1; IRTA2; TENB2; PMEL17; TMEFF1; GDNF-Ra1; Ly6E; TMEM46; Ly6G6D; LGR5; RET; LY6K; GPR19; GPR54; ASPHD1; Tyrosinase; TMEM118; GPR172A; MUC16 and CD33.
 12. The conjugate of claim 10, wherein Ab binds to one or more of polypeptides selected from the group consisting of CLL1, STEAP1, NaPi2b, STEAP2, TrpM4, CRIPTO, CD21, CD79b, FcRH2, B7-H4, HER2, CD22, CD79a, CD72, LY64, Ly6E, MUC16, and CD33.
 13. The conjugate of claim 12, wherein Ab is an antibody that binds to one or more polypeptides selected from the group consisting of B7-H4, HER2, CLL1, CD33, CD22 and NaPi2b.
 14. The conjugate of claim 12, wherein the antibody binds to HER2 or B7-H4.
 15. The conjugate of claim 14, wherein the antibody binds to HER2.
 16. The conjugate of claim 1, wherein L1 is a peptidomimetic linker.
 17. The conjugate of claim 16, wherein L1 is a peptidomimetic linker represented by the following formula: -Str-(PM)-Sp- wherein, Str is a stretcher unit covalently attached to Ab; Ab is an antibody; Sp is a bond or spacer unit covalently attached to a PROTAC moiety; PM is a non-peptide chemical moiety selected from the group consisting of:

W is —NH-heterocycloalkyl- or heterocycloalkyl; Y is heteroaryl, aryl, —C(O)C₁-C₆alkylene, C₁-C₆alkylene-NH₂, C₁-C₆alkylene-NH—CH₃, C₁-C₆alkylene-N—(CH₃)₂, C₁-C₆alkenyl or C₁-C₆alkylenyl; each R¹ is independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl, (C₁-C₆alkyl)NHC(NH)NH₂, (C₁-C₆alkyl)NHC(O)NH₂, (C₁-C₁₀alkyl)NHC(NH)NH₂ or (C₁-C₁₀alkyl)NHC(O)NH₂; R³ and R² are each independently H, C₁-C₁₀alkyl, C₁-C₁₀alkenyl, arylalkyl or heteroarylalkyl, or R³ and R² together may form a C₃-C₇cycloalkyl; and R⁴ and R⁵ are each independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl, arylalkyl, heteroarylalkyl, (C₁-C₁₀alkyl)OCH₂—, or R⁴ and R⁵ together may form a C₃-C₇cycloalkyl ring.
 18. The conjugate of claim 17, wherein Y is heteroaryl; R⁴ and R⁵ together form a cyclobutyl ring.
 19. The conjugate of claim 17, wherein Y is a moiety selected from the group consisting of


20. The conjugate of claim 17, wherein Str is a chemical moiety represented by the following formula:

wherein R⁶ is selected from the group consisting of C₁-C₁₀alkylene, C₁-C₁₀alkenyl, C₃-C₈cycloalkyl, (C₁-C₈alkylene)O—, and C₁-C₁₀alkylene-C(O)N(R^(a))—C₂-C₆alkylene, where each alkylene may be substituted by one to five substituents selected from the group consisting of halo, trifluoromethyl, difluoromethyl, amino, alkylamino, cyano, sulfonyl, sulfonamide, sulfoxide, hydroxy, alkoxy, ester, carboxylic acid, alkylthio, C₃-C₅cycloalkyl, C₄-C₇heterocycloalkyl, heteroarylalkyl, aryl arylalkyl, heteroarylalkyl and heteroaryl each R^(a) is independently H or C₁-C₆alkyl; and Sp is —C₁-C₆alkylene-C(O)NH— or —Ar—R^(b)—, wherein Ar is aryl or heteroaryl, and R^(b) is (C₁-C₁₀alkylene)O—.
 21. The conjugate of claim 17, wherein Str has the formula:

wherein R⁷ is selected from C₁-C₁₀alkylene, C₁-C₁₀alkenyl, (C₁-C₁₀alkylene)O—, N(R^(c))—(C₂-C₆ alkylene)-N(R^(c)) and N(R^(c))—(C₂-C₆alkylene); where each R^(c) is independently H or C₁-C₆ alkyl; and Sp is —C₁-C₆alkylene-C(O)NH— or —Ar—R^(b)—, wherein Ar is aryl or heteroaryl, and R^(b) is (C₁-C₁₀alkylene)O—.
 22. The conjugate of claim 17, wherein L1 has the following formula

R¹ is C₁-C₆alkyl, C₁-C₆alkenyl, (C₁-C₆alkyl)NHC(NH)NH₂ or (C₁-C₆alkyl)NHC(O)NH₂; R³ and R² are each independently H, C₁-C₁₀alkyl.
 23. The conjugate of claim 17, wherein L1 has the following formula:

R¹ is C₁-C₆alkyl, (C₁-C₆alkyl)NHC(NH)NH₂ or (C₁-C₆alkyl)NHC(O)NH₂; R⁴ and R⁵ together form a C₃-C₇cycloalkyl ring.
 24. The conjugate of claim 17, wherein L1 has the following formula:

R¹ is C₁-C₆alkyl, (C₁-C₆alkyl)NHC(NH)NH₂ or (C₁-C₆alkyl)NHC(O)NH₂.
 25. The conjugate compound of claim 1, having the formula:

wherein Sp is a bond or spacer unit covalently attached to PROTAC moiety D; Y is heteroaryl, aryl, —C(O)C₁-C₆alkylene, C₁-C₆alkylene-NH₂, C₁-C₆alkylene-NH—CH₃, C₁-C₆alkylene-N—(CH₃)₂, C₁-C₆alkenyl or C₁-C₆alkylenyl; R¹ is independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl, (C₁-C₆alkyl)NHC(NH)NH₂, (C₁-C₆alkyl)NHC(O)NH₂, (C₁-C₁₀alkyl)NHC(NH)NH₂ or (C₁-C₁₀alkyl)NHC(O)NH₂; R³ and R² are each independently H, C₁-C₁₀alkyl, C₁-C₁₀alkenyl, arylalkyl or heteroarylalkyl, or R³ and R² together may form a C₃-C₇cycloalkyl; and Str is a chemical moiety represented by the following formula:

R⁶ is selected from the group consisting of C₁-C₁₀alkylene, and C₁-C₁₀alkylene-C(O)N(R^(a))—C₂-C₆alkylene, where each alkylene may be substituted by one to five substituents selected from the group consisting of halo, trifluoromethyl, difluoromethyl, amino, alkylamino, cyano, sulfonyl, sulfonamide, sulfoxide, hydroxy, alkoxy, ester, carboxylic acid, alkylthio, C₃-C₅cycloalkyl, C₄-C₇heterocycloalkyl, heteroarylalkyl, aryl, arylalkyl, heteroarylalkyl and heteroaryl each R^(a) is independently H or C₁-C₆alkyl; p is 1, 2, 3 or
 4. 26. The conjugate of claim 1, having the formula:

wherein Sp is a bond or spacer unit covalently attached to PROTAC moiety D; R⁴ and R⁵ are each independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl, arylalkyl, heteroarylalkyl, (C₁-C₁₀alkyl)OCH₂—, or R⁴ and R⁵ together may form a C₃-C₇cycloalkyl ring R¹ is independently C₁-C₁₀alkyl, C₁-C₁₀alkenyl, (C₁-C₆alkyl)NHC(NH)NH₂, (C₁-C₆alkyl)NHC(O)NH₂, (C₁-C₁₀alkyl)NHC(NH)NH₂ or (C₁-C₁₀alkyl)NHC(O)NH₂; Str is a chemical moiety represented by the following formula:

R⁶ is selected from the group consisting of C₁-C₁₀alkylene, and C₁-C₁₀alkylene-C(O)N(R^(a))—C₂-C₆alkylene, where each alkylene may be substituted by one to five substituents selected from the group consisting of halo, trifluoromethyl, difluoromethyl, amino, alkylamino, cyano, sulfonyl, sulfonamide, sulfoxide, hydroxy, alkoxy, ester, carboxylic acid, alkylthio, C₃-C₅cycloalkyl, C₄-C₇heterocycloalkyl, aryl, arylalkyl, heteroarylalkyl and heteroaryl each R is independently H or C₁-C₆alkyl; p is 1, 2, 3 or
 4. 27. The conjugate of claim 25, wherein Y is heteroaryl, aryl or alkenyl; R⁶ is C₁-C₁₀alkylene.
 28. The conjugate of claim 25, wherein Y is


29. The conjugate of claim 25, wherein Y is


30. The conjugate of claim 25, wherein Y is


31. The conjugate of claim 25, wherein Str is a chemical moiety represented b the following formula:

R⁶ is C₁-C₆alkylene; Sp is —C₁-C₆alkylene-C(O)NH— or —Ar—R^(b)—, where Ar is aryl, R^(b) is (C₁-C₃alkylene)O—.
 32. The conjugate of claim 1, having the formula:

wherein Y is heteroaryl, aryl, —C(O)C₁-C₆alkylene, C₁-C₆alkylene-NH₂, C₁-C₆alkylene-NH—CH₃, C₁-C₆alkylene-N—(CH₃)₂, C₁-C₆alkenyl or C₁-C₆alkylenyl; R¹ is C₁-C₆alkyl-NH₂, (C₁-C₆alkyl)NHC(NH)NH₂ or (C₁-C₆alkyl)NHC(O)NH₂; R³ and R² are each independently H, C₁-C₁₀alkyl, C₁-C₁₀alkenyl, arylalkyl or heteroarylalkyl, or R³ and R² together may form a C₃-C₇cycloalkyl; and p is 1, 2, 3 or
 4. 33. The conjugate of claim 1, having the formula:

wherein p is 1, 2, 3 or 4; R¹ is C₁-C₆alkyl-NH₂, (C₁-C₆alkyl)NHC(NH)NH₂ or (C₁-C₆alkyl)NHC(O)NH₂; R⁴ and R⁵ are each independently C₁-C₆alkyl, wherein said alkyl are unsubstituted, or R⁴ and R⁵ may form a C₃-C₇cycloalkyl ring.
 34. The conjugate of claim 1, wherein L1 has the following formula:

wherein, R¹ and R² are independently selected from H and C₁-C₆ alkyl, or R¹ and R² form a 3, 4, 5, or 6-membered cycloalkyl or heterocyclyl group.
 35. The conjugate of claim 1 selected from the group consisting of PAC1, PAC2, PAC3, PAC4 and PAC5.
 36. The conjugate of claim 1, wherein p is from about 1.0 to about
 3. 37. The conjugate of claim 1, wherein p is about
 2. 38. A pharmaceutical composition comprising a conjugate of claim 1 and one or more pharmaceutically acceptable excipients.
 39. A method of treating a disease in a human in need thereof, comprising administering to said human an effective amount of a conjugate of claim 1 or a composition of claim
 38. 40. The method of claim 39, wherein said disease is cancer.
 41. The method of claim 40, wherein said cancer is selected from the group consisting of a carcinoma, lymphoma, blastoma, sarcoma, leukemia, lymphoid malignancies, squamous cell cancer, lung cancer including small-cell lung cancer, non-small cell lung cancer, adenocarcinoma of the lung and squamous carcinoma of the lung, cancer of the peritoneum, hepatocellular cancer, gastric or stomach cancer including gastrointestinal cancer, pancreatic cancer, glioblastoma, cervical cancer, ovarian cancer, liver cancer, bladder cancer, hepatoma, breast cancer, colon cancer, rectal cancer, colorectal cancer, endometrial or uterine carcinoma, salivary gland carcinoma, kidney or renal cancer, prostate cancer, vulval cancer, thyroid cancer, hepatic carcinoma, anal carcinoma, penile carcinoma, and head and neck cancer.
 42. The method of claim 41, wherein the cancer is a HER2-positive cancer.
 43. The method of claim 42, wherein the HER2-positive cancer is breast cancer or gastric cancer.
 44. A method of claim 39, wherein said disease is an autoimmune disease.
 45. The method of claim 44, wherein the autoimmune disease is selected from the group consisting of rheumatologic disorders, osteoarthritis, autoimmune gastrointestinal and liver disorders, vasculitis, autoimmune neurological disorders, renal disorders, autoimmune dermatologic disorders, hematologic disorders, atherosclerosis, uveitis, autoimmune hearing diseases, Behcet's disease, Raynaud's syndrome, organ transplant, autoimmune endocrine disorders, Addison's disease, and autoimmune thyroid disease.
 46. The method of claim 45, wherein the autoimmune disease is selected from the group consisting of rheumatoid arthritis, ulcerative colitis, ANCA-associated vasculitis, lupus, multiple sclerosis, Sjögren's syndrome, Graves' disease, IDDM, pernicious anemia, thyroiditis, and glomerulonephritis. 